Healthcare Provider Details

I. General information

NPI: 1639888910
Provider Name (Legal Business Name): A MOTHER'S TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 DICKINSON ST SE
GRAND RAPIDS MI
49507-2043
US

IV. Provider business mailing address

PO BOX 7873
GRAND RAPIDS MI
49510-7873
US

V. Phone/Fax

Practice location:
  • Phone: 616-514-0547
  • Fax:
Mailing address:
  • Phone: 616-514-0547
  • 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: MRS. CRYSTAL BARNETT
Title or Position: FOUNDER, EXECUTIVE DIRECTOR
Credential: LLMSW, CPRM
Phone: 616-259-0461