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General NPI Number Information
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NPI Number | 1982570032
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Entity Type | Organization
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Legal Business Name | THISTLE AND FERN WELLNESS LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 630 KENMOOR AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8626
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Country | US
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Telephone | 989-331-0529
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LACEY SMITH
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Credential | LMSW
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Telephone | 989-331-0529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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