Healthcare Provider Details

I. General information

NPI: 1649714239
Provider Name (Legal Business Name): SENSHU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 N 4TH ST
MARQUETTE MI
49855-3401
US

IV. Provider business mailing address

1001 2ND ST # 1026
KALAMAZOO MI
49001-2571
US

V. Phone/Fax

Practice location:
  • Phone: 616-589-5424
  • Fax:
Mailing address:
  • Phone: 616-589-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801094843
License Number StateMI

VIII. Authorized Official

Name: ASHLEY ELIZABETH MANNION-WOODWARD
Title or Position: OWNER/SOCIAL WORKER
Credential: LMSW
Phone: 616-589-5424