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Search › Michigan › 103K00000X

Katya Van Dyke

NPI 1457946246 · on the registry since 2021

Practice

Address
600 3 Mile Rd Nw Ste 200
Grand Rapids, MI 49544
Phone
(616) 848-1534
Organisation at this address
Vicki Poleni Lmsw
Sarah Lickiss Lmsw Plc
Stacey Vanderklok, Llc
Building Blocks Therapy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
126

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
101YM0800X
106S00000X
Sex
Female
Record last updated
2025-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan