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RUSSOM RECOVERY THERAPIES LLC NPI 1073154837


NPI Information

NPI: 1073154837
Provider Name: RUSSOM RECOVERY THERAPIES LLC
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
4519 CASCADE RD SE STE 5
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 228-2045
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RUSSOM RECOVERY THERAPIES LLC is a social worker in Grand Rapids, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. RUSSOM RECOVERY THERAPIES LLC NPI is 1073154837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4519 CASCADE RD SE STE 5
GRAND RAPIDS, MI
ZIP 49546-319
Phone: (616) 228-2045

The provider's authorized official is Mary Beth Houpt .
The authorized official title is Credentialing and has the following contact phone number (517) 676-9797.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 4/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.