| NPI | 1003635970 | 
|---|---|
| Other Name | THRIVING MINDS MUSKEGON | 
| Entity Type | Organization | 
| Authorized Contact | KELLY M DYE Owner 231-855-0210  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-10-08 | 
| Last Update Date | 2024-10-14 |