Organization · NPI-2

A Thriving Place LLC

Social Worker, Clinical · Grand Rapids, MI

NPI number1114648995
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1114648995
Entity type
Organization (NPI-2)
Legal business name
A Thriving Place LLC
Organization subpart
No
Enumeration date
Sep 8, 2022
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

3274 Briggs Blvd Ne
Grand Rapids, MI 49525-2502

Phone 734-686-0571

Mailing address

3274 Briggs Blvd Ne
Grand Rapids, MI 49525-2502

Phone 734-686-0571

Authorized official

Sierra Ellison
Owner
6169290324

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