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Organization
A SEED OF HOPE FAMILY COUNSELING CENTER PLLC
Active
Organization
A SEED OF HOPE FAMILY COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BATES LLMSW (OWNER)
(269) 993-0112
Entity
Organization
Contact information
Practice address
10332 SHAVER RD, PORTAGE, MI 49024-6744
(269) 993-0112
Mailing address
10332 SHAVER RD, PORTAGE, MI 49024-6744
(269) 993-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/09/2021
Last updated
06/24/2021
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