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Melita Travis Johnson, Lmsw, Ccdp
Community/Behavioral Health Agency in Grand Rapids, Michigan
NPI 1417355322

Melita Travis Johnson, Lmsw, Ccdp is a Community/Behavioral Health Agency based in Grand Rapids, MI. Melita Travis Johnson, Lmsw, Ccdp practices in Grand Rapids, MI. The NPI Number for Melita Travis Johnson, Lmsw, Ccdp is 1417355322 and holds a License No. 6801063274 (Michigan).

The current practice location address for Melita Travis Johnson, Lmsw, Ccdp is 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI and can be reached out via phone at 616-481-9337 and via fax at 616-719-3119.

Location: 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI, 49525-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417355322
Provider Name
Melita Travis Johnson, Lmsw, Ccdp
Credential
Provider Entity Type
Organization
Address
770 Kenmoor Ave Se Ste 103, Grand Rapids, MI, 49525-2632
Phone Number
616-481-9337
Fax Number
616-719-3119
Provider Enumeration Date
12/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
770 Kenmoor Ave Se Ste 103
City
Grand Rapids
State
Michigan
Zip
49546-8602
Phone Number
616-481-9337
Fax Number
616-719-3119
person
Provider Business Mailing Address Details
Address
770 Kenmoor Ave Se Ste 103
City
Grand Rapids
State
Michigan
Zip
49546-8602
Phone Number
616-481-9337
Fax Number
616-719-3119
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
6801063274 (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.
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