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BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER NPI 1376866160


NPI Information

NPI: 1376866160
Provider Name: BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER

Doing Business As: BEHAVIORAL HEALTH SERVICES, REHAB, HEALTHCARE PROVIDER, COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
924 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507
Phone: (231) 343-2753
Get Directions

BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER is a clinical social worker in Grand Rapids, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BREAKTHROUGH BELIEVERS RECOVERY AND HEALING CENTER NPI is 1376866160. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Behavioral Health Services, Rehab, Healthcare Provider, Counseling.

The provider's business location address is:

924 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507-303
Phone: (231) 343-2753

The provider's authorized official is Pam M Duvall-bateman .
The authorized official title is Ceo and has the following contact phone number (616) 272-3796.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 10/24/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)410357MICHIGANNo
2103TP2701XPsychologistGroup Psychotherapy410357MICHIGANNo
3171M00000XCase Manager/Care Coordinator410357MICHIGANNo
4251B00000XCase Management610081MICHIGANNo
5343900000XNon-emergency Medical Transport (VAN)SA0410357MICHIGANNo
6347C00000XPrivate Vehicle610081MICHIGANNo
7251S00000XCommunity/Behavioral Health410357MICHIGANNo
8251S00000XCommunity/Behavioral HealthSA410357MICHIGANNo
9251X00000XSupports Brokerage410357MICHIGANNo
10252Y00000XEarly Intervention Provider Agency410357MICHIGANNo
11253Z00000XIn Home Supportive Care610081MICHIGANNo
12305R00000XPreferred Provider Organization410357MICHIGANNo
13305S00000XPoint of Service410357MICHIGANNo
14310400000XAssisted Living Facility410357MICHIGANNo
151041C0700XSocial WorkerClinical410357MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376866160OTHERMICHIGANSUBPART HEALTHCARE PROVIDER LICENSE: 410357, 610081, 700099, 110106
21376866160MEDICAIDMICHIGAN

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.