MEDICARE: MY FAVORITE THERAPIST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1396557575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY FAVORITE THERAPIST LLC

Provider Business Mailing Address
First Line	:	3393 ENGLISH HILLS DR NW
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49544-7334
Country	:	US
Telephone Number	:	269-340-1116
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 OAK INDUSTRIAL DR NE STE 209
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-6037
Country	:	US
Telephone Number	:	269-340-1116
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASMIN STEPHENS
Credential	:	LMSW
Telephone Number	:	269-340-1116

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1235063157 — THE CAREGIVING COMPANY LLC
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 204
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-818-1628
Practice Fax:

1194910596 — MR. STEVEN LEO STRATTON MHS, PT
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 208
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-292-6736
Practice Fax:

1679816359 — ROBERT ELIAS SMITH LMSW
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 209
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-288-1556
Practice Fax: 616-288-1556

1689171365 — MRS. LA QUINN MENIER CCM
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 113
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-920-0539
Practice Fax:

1871238055 — HEATHER PARLMER LMSW
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 108
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-200-8320
Practice Fax:

1447954144 — AIDAN MEDICAL PRODUCTS INC
Practice Location Address:

2215 OAK INDUSTRIAL DR NE STE 115
GRAND RAPIDS, MI
49505-6037

Practice Phone: 616-245-6500
Practice Fax:

Directions to “MY FAVORITE THERAPIST LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.