Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mld Supervision & Therapy, LLC

Organization Clinical Social Worker · NPI 1396553459

Mld Supervision & Therapy, LLC is a Clinical Social Worker in Gaylord, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

127 W Stewart St
Gaylord, MI 49735-1539
Phone: (989) 217-8219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1396553459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marissa Luck-Damer — Owner/Mental Health Professional · (989) 217-8219
NPI enumeratedDecember 20, 2024
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024
Mailing address127 W Stewart St, Gaylord, MI 49735-1539

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