Healthcare Provider Details

I. General information

NPI: 1083403281
Provider Name (Legal Business Name): NATASHA MUSIC
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: NATASHA MORRISON

II. Dates (important events)

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

III. Provider practice location address

49 2ND ST N
KENT CITY MI
49330-9600
US

IV. Provider business mailing address

49 2ND ST N
KENT CITY MI
49330-9600
US

V. Phone/Fax

Practice location:
  • Phone: 231-564-2198
  • Fax:
Mailing address:
  • Phone: 231-564-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: