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GRAND RAPIDS CENTER FOR PSYCHOTHERAPY PLLC NPI 1679899280


NPI Information

NPI: 1679899280
Provider Name: GRAND RAPIDS CENTER FOR PSYCHOTHERAPY PLLC

Other Name: CAROLYN H. CARINO LMSW ACSW SPADA

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4519 CASCADE RD SE
SUITE 3
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 949-6262
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GRAND RAPIDS CENTER FOR PSYCHOTHERAPY PLLC is a community behavioral health in Grand Rapids, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GRAND RAPIDS CENTER FOR PSYCHOTHERAPY PLLC NPI is 1679899280. The provider is registered as an organization entity type.
The provider Other Name Is Carolyn H. Carino Lmsw Acsw Spada.

The provider's business location address is:

4519 CASCADE RD SE
SUITE 3
GRAND RAPIDS, MI
ZIP 49546-666
Phone: (616) 949-6262
Fax: (616) 425-2003

The provider's authorized official is Carolyn H Carino .
The authorized official title is Owner/president and has the following contact phone number (616) 949-6262.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 4/14/2011.


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
1251S00000XCommunity/Behavioral Health680103034469MICHIGANYes

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
1881817049OTHERNATIONAL ASSOCIATION OF SOCIAL WORKERS ACADEMY OF CERTIFIED SOCIAL WORKERS
26801034469OTHERMICHIGANSTATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH LICENSE

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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