Organization
REMEMBERED KNOWING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STARK LLMSW (OWNER)
(616) 483-0335
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW STE 114, GRANDVILLE, MI 49418-2097
(616) 483-0335
Mailing address
6111 SUMMERHILL CT, HUDSONVILLE, MI 49426-8913
(616) 483-0335
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/25/2022
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