Healthcare Provider Details

I. General information

NPI: 1497452676
Provider Name (Legal Business Name): RACHEL SWEET, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 LAKE DR SE STE 4
GRAND RAPIDS MI
49506-1673
US

IV. Provider business mailing address

206 HODENPYL RD SE
GRAND RAPIDS MI
49506-2060
US

V. Phone/Fax

Practice location:
  • Phone: 517-214-1534
  • Fax:
Mailing address:
  • Phone: 517-214-1534
  • 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: RACHEL SWEET
Title or Position: OWNER
Credential: LMSW
Phone: 517-214-1534