Healthcare Provider Details

I. General information

NPI: 1487698619
Provider Name (Legal Business Name): G & H ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N PENNSYLVANIA AVE APT 7
LANSING MI
48912-1545
US

IV. Provider business mailing address

615 N PENNSYLVANIA AVE APT 7
LANSING MI
48912-1545
US

V. Phone/Fax

Practice location:
  • Phone: 248-909-7202
  • Fax:
Mailing address:
  • Phone: 248-909-7202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801072469
License Number StateMI

VIII. Authorized Official

Name: JOSEPH E. MOJET
Title or Position: PRESIDENT
Credential: MSW
Phone: 248-909-7202