Provider Demographics
NPI:1376088419
Name:NATASHA RIETVELD POSTMA, LMSW, PLC
Entity Type:Organization
Organization Name:NATASHA RIETVELD POSTMA, LMSW, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RIETVELD POSTMA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-546-0443
Mailing Address - Street 1:2636 E CHESTER DR
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-9115
Mailing Address - Country:US
Mailing Address - Phone:616-546-0433
Mailing Address - Fax:
Practice Address - Street 1:2636 E CHESTER DR
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-9115
Practice Address - Country:US
Practice Address - Phone:616-546-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010918091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty