Healthcare Provider Details

I. General information

NPI: 1700677820
Provider Name (Legal Business Name): H1 THERAPY COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 IONIA AVE SW
GRAND RAPIDS MI
49503-4102
US

IV. Provider business mailing address

6848 FALLEN LEAF TRL
FENNVILLE MI
49408-8673
US

V. Phone/Fax

Practice location:
  • Phone: 312-771-9826
  • Fax:
Mailing address:
  • Phone: 771-982-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHERINE ROMEY SMALLER
Title or Position: FOUNDER & PRACTICE DIRECTOR
Credential: PHD, LCSW
Phone: 312-771-9826