| Rock Your Mind Therapy Pllc | |
|
4441 Grand Haven Rd Norton Shores MI 49441-5507 | |
| (616) 855-7625 | |
| Not Available |
| Full Name | Rock Your Mind Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4441 Grand Haven Rd, Norton Shores, Michigan |
| Authorized Official Name and Position | Kristen Kennedy (OWNER) |
| Authorized Official Contact | 6166384078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Your Mind Therapy Pllc 987 S Sandalwood Cir Norton Shores MI 49441-5998 Ph: (616) 638-4078 | Rock Your Mind Therapy Pllc 4441 Grand Haven Rd Norton Shores MI 49441-5507 Ph: (616) 855-7625 |
| NPI Number | 1316615057 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Medicare PECOS PAC ID | 6103277686 |
|---|---|
| Medicare Enrollment ID | O20240109002704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316615057 | NPI | - | NPPES |
| 1902391733 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kristen Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902391733 PECOS PAC ID: 1254786304 Enrollment ID: I20240131000454 |
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