Provider Demographics
NPI:1790833903
Name:THE FARM WHERE LIVING THINGS GROW INC
Entity Type:Organization
Organization Name:THE FARM WHERE LIVING THINGS GROW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-689-3001
Mailing Address - Street 1:PO BOX 944
Mailing Address - Street 2:
Mailing Address - City:WHITE CLOUD
Mailing Address - State:MI
Mailing Address - Zip Code:49349-0944
Mailing Address - Country:US
Mailing Address - Phone:231-689-3001
Mailing Address - Fax:231-689-5007
Practice Address - Street 1:1159 E WILCOX AVE STE A
Practice Address - Street 2:
Practice Address - City:WHITE CLOUD
Practice Address - State:MI
Practice Address - Zip Code:49349-8673
Practice Address - Country:US
Practice Address - Phone:231-689-3001
Practice Address - Fax:231-689-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty