Individual
BRITTANI LIN HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, WYOMING, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801106090
MI
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
6801106090
MI
1041C0700X
Clinical Social Worker
Primary
6801106090
MI
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801106090
STATE LICENSE
MI
Enumeration date
08/11/2016
Last updated
01/14/2025
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