EMERGING WHOLE THERAPY LLC NPI 1396247235

NPI Information

  • NPI: 1396247235
  • Provider Name: EMERGING WHOLE THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 820 W FRONT ST
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 715-1710

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NPI Details

EMERGING WHOLE THERAPY LLC is a mental health (including community mental health center) clinic center in Traverse City, MI. EMERGING WHOLE THERAPY LLC NPI is 1396247235. The provider is registered as an organization entity type.

The provider's business location address is:

820 W FRONT ST
TRAVERSE CITY, MI
ZIP 49684-466
Phone: (231) 715-1710

The provider's authorized official is Jennifer Superson .
The authorized official title is Clinical Lmsw and has the following contact phone number (231) 715-1710.

The enumeration date for this NPI number is 3/7/2018 and was last updated on 3/26/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6801100021MICHIGANYes

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: 11/21/2025

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