Organization Active NPI

Holding Space Mental Health LLC

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1114759222
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLDING SPACE MENTAL HEALTH LLC
Practice address
1481 Palmer St
Plymouth, MI 48170-2051
Phone
(248) 470-6149
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Danielle Lantz Rohlfs, LMSW-C, IMH, M.EDNPI 1104491091
Title
Owner
Phone
(248) 470-6149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1481 Palmer St
Plymouth, MI 48170-2051

Mailing address

1481 Palmer St
Plymouth, MI 48170-2051
Phone (248) 470-6149

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1114759222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 PALMER ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702051",
            "telephone_number": "248-470-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 PALMER ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702051",
            "telephone_number": "248-470-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDING SPACE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "ROHLFS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LANTZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-6149",
        "authorized_official_credential": "LMSW-C, IMH, M.ED"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.