Dehring, Samantha Rose

Dehring, Samantha Rose is an sole proprietor health care provider with primary practice located at 625 Kenmoor Ave Se Ste 301 , Grand Rapids MI 49546-2395. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dehring, Samantha Rose can be contacted via phone (313) 364-0270.

Contact Information

Primary practice address
625 Kenmoor Ave Se Ste 301 Grand Rapids MI 49546-2395
Phone: (313) 364-0270
Fax: (800) 991-2996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C-03159 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801096820 Michigan

Profile Details

NPI number 1356743371
LBN Legal business name Dehring, Samantha Rose
Credentials LMSW, CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2014
Last updated Sep 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356743371 NPPES
Michigan Other 6801096820 MASTERS SOCIAL WORK LICENSE

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