| Holly Bathrick Lmsw Pllc | |
|
456 Plymouth Ave Ne Ste B Grand Rapids MI 49505-6053 | |
| (616) 439-0079 | |
| Not Available |
| Full Name | Holly Bathrick Lmsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 456 Plymouth Ave Ne Ste B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Holly Bathrick (OWNER) |
| Authorized Official Contact | 6164390079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Bathrick Lmsw Pllc 911 Peachcrest Ct Ne Grand Rapids MI 49505-6434 Ph: () - | Holly Bathrick Lmsw Pllc 456 Plymouth Ave Ne Ste B Grand Rapids MI 49505-6053 Ph: (616) 439-0079 |
| NPI Number | 1104540343 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104540343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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