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BASSHAMDBT LLC
NPI 1174280002
Social Worker - Clinical in Birmingham, MI

Active since November 28, 2021
200 ELM ST STE 200D, BIRMINGHAM, MI 48009(248) 986-2991(248) 294-1237 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Basshamdbt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASSHAMDBT LLC (NPI 1174280002) is a healthcare organization registered as a clinical in Birmingham, Michigan and active in the NPI registry since November 2021. The organization lists Kelly Michael Bassham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174280002
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBASSHAMDBT LLC
Location Address200 ELM ST STE 200DBirmingham, MI 48009-6322
Mailing Address200 Elm St Ste 200dBirmingham, MI 48009-6322 · (248) 986-2991 · Fax (248) 294-1237
Phone(248) 986-2991
Fax(248) 294-1237
Organization SubpartYesParent: Mymentalspace.org
Authorized OfficialKelly Michael BasshamCeo · (248) 986-2991
Enumeration DateNovember 28, 2021
NPPES CertifiedNovember 28, 2021
✔ NPI 1174280002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
200 ELM ST STE 200D, Birmingham, MI 48009
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Other Names 1

Other NameMymentalspace.org

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KELLY MICHAEL BASSHAM LMSW
Social Worker (Clinical)
200 ELM ST STE 200D
BIRMINGHAM, MI 48009
Oakland County (248) 986-2991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basshamdbt LLC's NPI number?

The NPI number for Basshamdbt LLC is 1174280002. It was assigned to this organization in the NPPES registry on November 28, 2021. The provider is also known as mymentalspace.org.

Where is Basshamdbt LLC located?

Basshamdbt LLC is located at 200 Elm St Ste 200D, Birmingham, MI 48009. The listed phone number is (248) 986-2991.

What is Basshamdbt LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Basshamdbt LLC was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.