Provider Demographics
NPI:1730897430
Name:LITTLE, BETSIE OPAL (LMSW)
Entity type:Individual
Prefix:
First Name:BETSIE
Middle Name:OPAL
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 CLYDE ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-2007
Mailing Address - Country:US
Mailing Address - Phone:231-690-5258
Mailing Address - Fax:
Practice Address - Street 1:4084 OKEMOS RD STE A
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3258
Practice Address - Country:US
Practice Address - Phone:810-772-1987
Practice Address - Fax:517-879-4889
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical