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Organization
MINNIETALKS2YOU
Active
Organization
MINNIETALKS2YOU
Active
Other names
MINNIETALKS2YOU
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINNETTE KATHLEEN GAMBLE PHD, LMSW (COMMUNICATION TRUSTEE OFFICER)
(616) 799-4419
Entity
Organization
Contact information
Practice address
168 MAPLE ST, SPARTA, MI 49345-1310
(616) 799-4419
(616) 205-5017
Mailing address
166 MAPLE ST, SPARTA, MI 49345-1310
(616) 799-4419
(616) 205-5017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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