MEDICARE: JUST LOVE THERAPY & WELLNESS CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023950920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST LOVE THERAPY & WELLNESS CENTER, PLLC

Provider Business Mailing Address
First Line	:	3134 WOODGLEN ST NW
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49504-3605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3134 WOODGLEN ST NW
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49504-3605
Country	:	US
Telephone Number	:	231-557-3574
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	MS. BRANDI N SONES
Credential	:	LMSW
Telephone Number	:	231-557-3574

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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