| Center For Eating Disorders And Mental Wellnes Llc | |
|
3230 Broadmoor Ave Se Ste D Kentwood MI 49512-8180 | |
| (616) 821-7965 | |
| Not Available |
| Full Name | Center For Eating Disorders And Mental Wellnes Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3230 Broadmoor Ave Se Ste D, Kentwood, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Eating Disorders And Mental Wellnes Llc 3230 Broadmoor Ave Se Ste D Kentwood MI 49512-8180 Ph: (616) 821-7965 | Center For Eating Disorders And Mental Wellnes Llc 3230 Broadmoor Ave Se Ste D Kentwood MI 49512-8180 Ph: (616) 821-7965 |
| NPI Number | 1033920509 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033920509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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