Healthcare Provider Details

I. General information

NPI: 1841842820
Provider Name (Legal Business Name): ANAHATA CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 E SAGINAW ST STE 1
LANSING MI
48912-2326
US

IV. Provider business mailing address

1801 E SAGINAW ST STE 1
LANSING MI
48912-2326
US

V. Phone/Fax

Practice location:
  • Phone: 517-599-1247
  • Fax: 888-975-3255
Mailing address:
  • Phone: 517-599-1247
  • Fax: 888-975-3255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE CHERI DINGWELL FRENDT
Title or Position: OWNER
Credential: LMSW
Phone: 517-599-1247