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Mld Supervision & Therapy, LLC

Clinical Social Worker in Gaylord, MI · enumerated 2024 · authorized official Marissa Luck-Damer, Owner/Mental Health Professional.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396553459

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Registry record

Entity type Organization (Type 2)
Legal business name Mld Supervision & Therapy, LLC
Practice address 127 W Stewart St, Gaylord, MI, 49735
Enumeration date Dec 20, 2024
Last updated in NPPES Dec 20, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Marissa Luck-Damer
Title Owner/Mental Health Professional

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.

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Frequently asked questions

Who is the authorized official for Mld Supervision & Therapy, LLC?
NPPES lists Marissa Luck-Damer (Owner/Mental Health Professional) as the authorized official for this organization.
What is the NPI number for Mld Supervision & Therapy, LLC?
The NPI for Mld Supervision & Therapy, LLC is 1396553459, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-20.