| Becoming You Therapy Pllc | |
|
2346 Mission Hills Dr Se Grand Rapids MI 49546-7804 | |
| (616) 259-5444 | |
| Not Available |
| Full Name | Becoming You Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2346 Mission Hills Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Marie Dershem (OWNER) |
| Authorized Official Contact | 6162595444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming You Therapy Pllc 4310 Leonard St Nw Ste 103 Walker MI 49534-8447 Ph: () - | Becoming You Therapy Pllc 2346 Mission Hills Dr Se Grand Rapids MI 49546-7804 Ph: (616) 259-5444 |
| NPI Number | 1982203485 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Medicare PECOS PAC ID | 0749693612 |
|---|---|
| Medicare Enrollment ID | O20210114000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982203485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marie Christine Dershem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578094553 PECOS PAC ID: 5698101558 Enrollment ID: I20200212002632 |
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