Provider Demographics
NPI:1184439622
Name:RHEANNA GRAVER LLMSW LLC
Entity type:Organization
Organization Name:RHEANNA GRAVER LLMSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHEANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-718-4714
Mailing Address - Street 1:17353 HIDDEN LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-2293
Mailing Address - Country:US
Mailing Address - Phone:269-718-4714
Mailing Address - Fax:
Practice Address - Street 1:17353 HIDDEN LAKE WAY
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-2293
Practice Address - Country:US
Practice Address - Phone:269-718-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty