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SPACE FOR CHANGE THERAPEUTIC SERVICES, LLC
NPI 1740957133
Social Worker - Clinical in Jenison, MI

Active since August 24, 2021
1352 BALDWIN ST, JENISON, MI 49428(616) 322-3803 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space For Change Therapeutic Services, Llc NPPES

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

SPACE FOR CHANGE THERAPEUTIC SERVICES, LLC (NPI 1740957133) is a healthcare organization registered as a clinical in Jenison, Michigan and active in the NPI registry since August 2021. The organization lists Tashuna Hunt, Lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1740957133
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSPACE FOR CHANGE THERAPEUTIC SERVICES, LLC
Location Address1352 BALDWIN STJenison, MI 49428-8937
Mailing Address1352 Baldwin StJenison, MI 49428-8937 · (616) 322-3803
Phone(616) 322-3803
Organization SubpartNo
Authorized OfficialTashuna HuntLead Therapist · (616) 322-3803
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1740957133 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.
1352 BALDWIN ST, Jenison, MI 49428
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Space For Change Therapeutic Services, LLC's NPI number?

The NPI number for Space For Change Therapeutic Services, LLC is 1740957133. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Space For Change Therapeutic Services, LLC located?

Space For Change Therapeutic Services, LLC is located at 1352 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 322-3803.

What is Space For Change Therapeutic Services, LLC's specialty?

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

What insurance does Space For Change Therapeutic Services, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Space For Change Therapeutic Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Space For Change Therapeutic Services, LLC was last updated on August 24, 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.