Organization · Type 2 NPI

Katie Dole LLC

Adult Mental Health Clinic/Center · Holt, MI

NPI number 1003308503 Active

Practice location

2190 Aurelius Rd
Holt, MI 48842-5540

Fax (616) 818-0260

Mailing address

2580 Sorority Ln
Holt, MI 48842-9427

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000X6801092197 (MI)
Adult Mental Health Clinic/Center Primary 261QM0850X6801092197 (MI)
Adolescent and Children Mental Health Clinic/Center 261QM0855X6801092197 (MI)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1003308503

Katie Dole LLC's National Provider Identifier is 1003308503, issued on May 31, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Holt, MI. The record was last updated on Jan 26, 2024.