Crystal Meeusen, Llc | |
O-745 Lake Michigan Dr Nw Grand Rapids MI 49534-6795 | |
(616) 202-6527 | |
Not Available |
Full Name | Crystal Meeusen, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | O-745 Lake Michigan Dr Nw, Grand Rapids, Michigan |
Authorized Official Name and Position | Crystal Meeusen (OWNER/THERAPIST) |
Authorized Official Contact | 6166357425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crystal Meeusen, Llc 246 Center Green Meadow St Se Grand Rapids MI 49548-6827 Ph: (616) 635-7425 | Crystal Meeusen, Llc O-745 Lake Michigan Dr Nw Grand Rapids MI 49534-6795 Ph: (616) 202-6527 |
NPI Number | 1114635505 |
---|---|
Provider Enumeration Date | 11/14/2022 |
Last Update Date | 11/14/2022 |
Certification Date | 11/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114635505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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