Healthcare Provider Details

I. General information

NPI: 1871238055
Provider Name (Legal Business Name): HEATHER PARLMER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

7227 ORLIN CT NE
ROCKFORD MI
49341-8489
US

V. Phone/Fax

Practice location:
  • Phone: 616-200-8320
  • Fax:
Mailing address:
  • Phone: 616-443-7894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801114198
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: