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Organization

JWB AUTISM SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY BARNHART LPC (OWNER)
(989) 482-9444
Entity
Organization

Contact information

Practice address
360 E GRAND BLANC RD STE C, GRAND BLANC, MI 48439-3310
(810) 230-4224
(844) 918-0774
Mailing address
360 E GRAND BLANC RD STE C, GRAND BLANC, MI 48439-3310
(810) 230-4224
(844) 918-0774

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801756879
MI
Enumeration date
11/13/2025
Last updated
11/13/2025
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