Healthcare Provider Details

I. General information

NPI: 1336898121
Provider Name (Legal Business Name): GROWING CONNECTIONS THERAPEUTIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 S CEDAR ST STE 4
LANSING MI
48911-6912
US

IV. Provider business mailing address

3511 E ARBUTUS DR
OKEMOS MI
48864-4044
US

V. Phone/Fax

Practice location:
  • Phone: 989-600-3160
  • Fax:
Mailing address:
  • Phone: 989-600-3160
  • 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: AMY KAPP
Title or Position: OWNER
Credential: LMSW
Phone: 517-202-5818