Organization · Type 2 NPI
Amy Park-Goeddeke,lmsw, L.l.c
Mental Health Clinic/Center (Including Community Mental Health Center) · Pontiac, MI
NPI number
1124681341
Active
Practice location
1200 N Telegraph Rd Dept 32
Pontiac, MI 48341-1032
Mailing address
13335 15 Mile Rd # 258
Sterling Heights, MI 48312-4271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
Other mental health clinic/center (including community mental health center) providers in Pontiac
About NPI 1124681341
Amy Park-Goeddeke,lmsw, L.l.c's National Provider Identifier is 1124681341, issued on Apr 15, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pontiac, MI. The record was last updated on Feb 20, 2026.