Healthcare Provider Details

I. General information

NPI: 1023693058
Provider Name (Legal Business Name): SARA KREMER-START, LMSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 FRONT AVE NW STE 311
GRAND RAPIDS MI
49504-4400
US

IV. Provider business mailing address

PO BOX 150068
GRAND RAPIDS MI
49515-0068
US

V. Phone/Fax

Practice location:
  • Phone: 616-459-8971
  • Fax:
Mailing address:
  • Phone: 616-460-0711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARA ANN KREMER-START
Title or Position: OWNER
Credential: LMSW
Phone: 616-460-0711