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Katie Dole Llc
Adolescent and Children Mental Health Clinic/Center in Holt, Michigan
NPI 1003308503

Katie Dole Llc is an Adolescent and Children Mental Health Clinic/Center based in Holt, MI and is specialized in Adolescent and Children Mental Health. Katie Dole Llc practices in Holt, MI. The NPI Number for Katie Dole Llc is 1003308503 and holds a License No. 6801092197 (Michigan).

The current practice location address for Katie Dole Llc is 2190 Aurelius Rd, Holt, MI and can be reached out via phone at 616-881-1058 and via fax at 616-818-0260.

Location: 2190 Aurelius Rd, Holt, MI, 48842-9427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003308503
Provider Name
Katie Dole Llc
Credential
Provider Entity Type
Organization
Address
2190 Aurelius Rd, Holt, MI, 48842-9427
Phone Number
616-881-1058
Fax Number
616-818-0260
Provider Enumeration Date
05/31/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2190 Aurelius Rd
City
Holt
State
Michigan
Zip
48842-5540
Phone Number
616-881-1058
Fax Number
616-818-0260
person
Provider Business Mailing Address Details
Address
2190 Aurelius Rd
City
Holt
State
Michigan
Zip
48842-5540
Phone Number
616-881-1058
Fax Number
616-818-0260
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
6801092197 (Michigan)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
6801092197 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
6801092197 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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