| Childress Counseling Pllc | |
|
4565 Wilson Ave Sw Ste 3a Grandville MI 49418-2371 | |
| (616) 466-3107 | |
| Not Available |
| Full Name | Childress Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4565 Wilson Ave Sw Ste 3a, Grandville, Michigan |
| Authorized Official Name and Position | Kim M Childress (SOLE MEMBER) |
| Authorized Official Contact | 6164663107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childress Counseling Pllc 3300 36th St Se Kentwood MI 49512-2810 Ph: (616) 304-7517 | Childress Counseling Pllc 4565 Wilson Ave Sw Ste 3a Grandville MI 49418-2371 Ph: (616) 466-3107 |
| NPI Number | 1689152225 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689152225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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