Organization
ROCK YOUR MIND THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KENNEDY LPC (OWNER)
(616) 638-4078
Entity
Organization
Contact information
Practice address
4441 GRAND HAVEN RD, NORTON SHORES, MI 49441-5507
(616) 855-7625
Mailing address
987 S SANDALWOOD CIR, NORTON SHORES, MI 49441-5998
(616) 638-4078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902391733
NPI
MI
Enumeration date
08/30/2021
Last updated
08/30/2021
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