Healthcare Provider Details

I. General information

NPI: 1467116970
Provider Name (Legal Business Name): 2U AUTISM AND DISABILITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2021
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W STATE ST STE 2
HASTINGS MI
49058-1852
US

IV. Provider business mailing address

PO BOX 129
HASTINGS MI
49058-0129
US

V. Phone/Fax

Practice location:
  • Phone: 269-331-6022
  • Fax: 269-331-6336
Mailing address:
  • Phone: 989-413-8492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LIAM HARTSON
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: MS, OTR/L
Phone: 269-331-6022