Provider Demographics
NPI:1841096989
Name:GRZENIA, KAYTE S (BSW, DP-C)
Entity type:Individual
Prefix:
First Name:KAYTE
Middle Name:S
Last Name:GRZENIA
Suffix:
Gender:
Credentials:BSW, DP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8755 CARTER RD APT 19
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8767
Mailing Address - Country:US
Mailing Address - Phone:989-482-6956
Mailing Address - Fax:
Practice Address - Street 1:1009 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5705
Practice Address - Country:US
Practice Address - Phone:989-928-3566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)