Organization
THISTLE AND FERN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY SMITH LMSW (OWNER)
(989) 331-0529
Entity
Organization
Contact information
Practice address
630 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-8626
(989) 331-0529
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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