Melanie Fuentes Holistic Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MELANIE FUENTES HOLISTIC THERAPY LLC

Practice address

751 Kenmoor Ave SE Ste D
Grand Rapids, MI 49546-2391

Phone

(616) 405-9482

NPI assigned

May 22, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Melanie Jewel Fuentes, LMSWNPI 1609440338

Title

Owner

Phone

(616) 405-9482

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie J Fuentes, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1609440338
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1023700903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073812",
            "telephone_number": "616-405-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 KENMOOR AVE SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462391",
            "telephone_number": "616-405-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE FUENTES HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-405-9482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul Mekkes, OTRL OCCUPATIONAL TH
• Ronald L Mekkes Jr., COTA
• Tequila Mekkes
• Mel Trotter Ministries Dental Clinic
• Caitlyn Nicole Melamed, MS, RDN
• Melanie Hogeterp LMSW
• Theresa Rose Melching, LMSW
• Blanca Luz Melchor, LLMSW
• Melissa Lynn Meldrum, M.D.
• Erica Lynn Meleca, CPNP-AC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.