MEDICARE: TENDING WITHIN

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083542674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDING WITHIN

Provider Business Mailing Address
First Line	:	2337 N PARK DR
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49424-8522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2337 N PARK DR
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49424-8522
Country	:	US
Telephone Number	:	773-751-9795
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	KARA PETERSON
Credential	:	LCPC, PMH-C
Telephone Number	:	773-751-9795

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “TENDING WITHIN ” Practice Location

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