Healthcare Provider Details

I. General information

NPI: 1508132903
Provider Name (Legal Business Name): ASHLEY RAE SEELEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date: 08/04/2016
Reactivation Date: 08/29/2025

III. Provider practice location address

2316 S CEDAR ST
LANSING MI
48910-3152
US

IV. Provider business mailing address

PO BOX 30161
LANSING MI
48909-7661
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-4302
  • Fax:
Mailing address:
  • Phone: 517-887-4383
  • Fax: 517-244-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801116220
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: