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Organization
LLC BEHAVIOR SERVICES
Active
Organization
LLC BEHAVIOR SERVICES
Active
Parent organization
HARD PHILOSPHER MINISTRIES
Other names
Hard Philosopher Ministries, Larry Mitchell, LLC Behavior Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARD PHILOSPHER MINISTRIES
Authorized official
MR. LARRY MITCHELL MA CAADC SPADA (EXECUTIVE DIRECTOR PROGRAM MANAGER)
(616) 723-5071
Entity
Organization
Contact information
Practice address
1960 MILLBROOK ST SE, GRAND RAPIDS, MI 49508-2636
(616) 633-3700
(616) 633-3700
Mailing address
1960 MILLBROOK ST SE, GRAND RAPIDS, MI 49508-2636
(616) 723-5071
(201) 849-7865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-00112
MI
104100000X
Social Worker
6803085788
NULL
104100000X
Social Worker
6803085788
—
171M00000X
Case Manager/Care Coordinator
C-00112
MI
405300000X
Prevention Professional
C-00112
NULL
405300000X
Prevention Professional
C-00112
—
Other
Enumeration date
02/01/2018
Last updated
06/16/2021
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