Organization · Type 2 NPI

Liberated Mindz Therapeutic Services PLLC

Clinical Social Worker · Grand Rapids, MI

NPI number 1972407112 Active

Practice location

2050 Breton Rd SE Ste 104
Grand Rapids, MI 49546-5547

Call (616) 426-9917 Map

Mailing address

PO Box 7103
Grand Rapids, MI 49510-7103

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1972407112

Liberated Mindz Therapeutic Services PLLC's National Provider Identifier is 1972407112, issued on Oct 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 2, 2026.