Provider Demographics
NPI:1164392924
Name:BE STILL & LET GO PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:BE STILL & LET GO PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MISCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CCS, CAADC
Authorized Official - Phone:810-334-6696
Mailing Address - Street 1:11507 BRYCE RD
Mailing Address - Street 2:
Mailing Address - City:EMMETT
Mailing Address - State:MI
Mailing Address - Zip Code:48022-3106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11507 BRYCE RD
Practice Address - Street 2:
Practice Address - City:EMMETT
Practice Address - State:MI
Practice Address - Zip Code:48022-3106
Practice Address - Country:US
Practice Address - Phone:810-334-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty