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KAILE VIDETICH LLMFT NPI 1003413352


NPI Information

NPI: 1003413352
Provider Name: KAILE VIDETICH, LLMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 330-2330
Get Directions

Kaile Videtich, LLMFT is a marriage family therapist in Grand Rapids, MI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Kaile Videtich, LLMFT NPI is 1003413352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI
ZIP 49546-626
Phone: (616) 330-2330
Fax: (616) 600-0360

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.


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
1106H00000XMarriage & Family Therapist4151001001MICHIGANYes

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

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