Healthcare Provider Details

I. General information

NPI: 1306954797
Provider Name (Legal Business Name): MARILYN STROBEL LMSW, LLP, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 S SHORE DR STE 214
BATTLE CREEK MI
49014-5446
US

IV. Provider business mailing address

391 S SHORE DR STE 214
BATTLE CREEK MI
49014-5446
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-0153
  • Fax: 855-877-5812
Mailing address:
  • Phone: 269-964-0153
  • Fax: 855-877-5812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801014309
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC-00638
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301006119
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: