| Defining Moments Counseling & Consultation, Pllc | |
|
108 S Lauderdale Dr Kalamazoo MI 49006-4348 | |
| (269) 352-6713 | |
| Not Available |
| Full Name | Defining Moments Counseling & Consultation, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 108 S Lauderdale Dr, Kalamazoo, Michigan |
| Authorized Official Name and Position | Caroline M Ray (AUTHORIZED AGENT) |
| Authorized Official Contact | 2693526713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defining Moments Counseling & Consultation, Pllc 108 S Lauderdale Dr Kalamazoo MI 49006-4348 Ph: (269) 352-6713 | Defining Moments Counseling & Consultation, Pllc 108 S Lauderdale Dr Kalamazoo MI 49006-4348 Ph: (269) 352-6713 |
| NPI Number | 1104417872 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104417872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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