MEDICARE: SVERNS THERAPY & COACHING LLC

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1720915382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SVERNS THERAPY & COACHING LLC

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	MASON
State	:	MI
Zip	:	48854-0010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9390 52ND ST SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-8303
Country	:	US
Telephone Number	:	616-227-0796
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	MARY BETH HOUPT
Credential	:
Telephone Number	:	517-676-9797

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “SVERNS THERAPY & COACHING LLC ” Practice Location

Language	Start Address	Practice Location

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