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Organization
HOLLY BATHRICK LMSW PLLC
Active
Organization
HOLLY BATHRICK LMSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BATHRICK (OWNER)
(616) 439-0079
Entity
Organization
Contact information
Practice address
456 PLYMOUTH AVE NE STE B, GRAND RAPIDS, MI 49505-6053
(616) 439-0079
Mailing address
911 PEACHCREST CT NE, GRAND RAPIDS, MI 49505-6434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/24/2025
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