| Davis Counseling Group | |
|
5030 Corporate Exchange Blvd Se Fl 2 Grand Rapids MI 49512-5506 | |
| (616) 315-1226 | |
| Not Available |
| Full Name | Davis Counseling Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5030 Corporate Exchange Blvd Se Fl 2, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tristen M Davis (OWNER) |
| Authorized Official Contact | 5013193899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Counseling Group 3940 Peninsular Dr Se Ste 230 Grand Rapids MI 49546-6187 Ph: (501) 319-3899 | Davis Counseling Group 5030 Corporate Exchange Blvd Se Fl 2 Grand Rapids MI 49512-5506 Ph: (616) 315-1226 |
| NPI Number | 1477380988 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477380988 | NPI | - | NPPES |
| 1548671878 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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