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Basshamdbt LLC

Basshamdbt LLC is a healthcare organization registered as Clinical Social Worker in Birmingham, MI, holding Type 2 (organization) NPI 1174280002 since 2021. The authorized official on file is Kelly Bassham, Ceo.

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NPI 1174280002
Entity type Organization (Type 2)
Legal business name Basshamdbt LLC
Parent organization Mymentalspace.Org
Practice address 200 ELM ST STE 200D, Birmingham, MI, 48009
Phone 2489862991
Fax 2482941237
Enumeration date 2021-11-28
Last updated in NPPES 2021-11-28

Authorized official

Name Kelly Bassham
Title Ceo
Phone 2489862991

Taxonomy & classification

Taxonomy code Specialty Primary License State
1041C0700X Clinical Social Worker Primary
Copy-ready billing details
Provider: Basshamdbt LLC
NPI: 1174280002
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 200 ELM ST STE 200D, Birmingham, MI, 48009

Providers at this address

NPI Name Type Specialty Location
1023363488 Kelly Bassham Individual Clinical Social Worker Birmingham, MI

Verify this record

Cross-check NPI 1174280002 against the authoritative CMS record: view Basshamdbt LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Basshamdbt LLC located?
The practice location on file with NPPES is in Birmingham, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-11-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-28.