Provider Demographics
NPI:1184858854
Name:UNLIMITED POSSIBILITIES LLC
Entity Type:Organization
Organization Name:UNLIMITED POSSIBILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-842-0264
Mailing Address - Street 1:14998 CLEVELAND ST
Mailing Address - Street 2:SUITE G & H
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-8992
Mailing Address - Country:US
Mailing Address - Phone:616-842-0264
Mailing Address - Fax:801-842-0264
Practice Address - Street 1:14998 CLEVELAND ST
Practice Address - Street 2:SUITE G & H
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-8992
Practice Address - Country:US
Practice Address - Phone:616-842-3161
Practice Address - Fax:801-846-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010851081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty