| Krista Tisdel, LMSW | |
|
25 Conran Dr Ste B, Coopersville, MI 49404-1366 | |
| (616) 267-7860 | |
| Not Available |
| Full Name | Krista Tisdel |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 25 Conran Dr Ste B, Coopersville, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346655255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087231 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Tisdel, LMSW 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Krista Tisdel, LMSW 25 Conran Dr Ste B, Coopersville, MI 49404-1366 Ph: (616) 267-7860 |
Ms. Christina Marie Vanhouten, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 | |
Susan Dice, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4503 Leonard St, Coopersville, MI 49404 Phone: 616-836-0036 | |
Marcia Joy Stonehouse, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 25 Conran Dr Ste B, Coopersville, MI 49404 Phone: 616-267-7860 |