Organization
EMILY DODGE THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DODGE LMSW (CLINICAL SOCIAL WORKER)
(313) 498-6994
Entity
Organization
Contact information
Practice address
3030 IVANREST AVE SW STE 1, GRANDVILLE, MI 49418-2942
(616) 258-6368
Mailing address
3030 IVANREST AVE SW STE 1, GRANDVILLE, MI 49418-2942
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
04/06/2026
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