Provider Demographics
NPI:1487364832
Name:VICTORIA LEMMEN LMSW PLC
Entity type:Organization
Organization Name:VICTORIA LEMMEN LMSW PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMSW
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-914-6484
Mailing Address - Street 1:4471 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-9155
Mailing Address - Country:US
Mailing Address - Phone:616-914-6484
Mailing Address - Fax:
Practice Address - Street 1:4471 SLEEPY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-9155
Practice Address - Country:US
Practice Address - Phone:616-914-6484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty