Provider Demographics
NPI:1811615248
Name:OSBECK, HOLLY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:OSBECK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:7570 CANNON RUN NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7682
Mailing Address - Country:US
Mailing Address - Phone:616-826-5397
Mailing Address - Fax:
Practice Address - Street 1:540 LEONARD ST NW STE G
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-4260
Practice Address - Country:US
Practice Address - Phone:616-458-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801093029104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker