| Expressive Explorations | |
|
2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 | |
| (616) 259-5136 | |
| (616) 345-1317 |
| Full Name | Expressive Explorations |
|---|---|
| Speciality | Counselor |
| Location | 2050 Breton Rd Se Ste 104, Grand Rapids, Michigan |
| Authorized Official Name and Position | Annalise Hammerlund (OWNER) |
| Authorized Official Contact | 6162595136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressive Explorations 3232 Woodward Ave Sw Wyoming MI 49509-3038 Ph: (616) 259-5136 | Expressive Explorations 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: (616) 259-5136 |
| NPI Number | 1225668684 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Medicare PECOS PAC ID | 1153768403 |
|---|---|
| Medicare Enrollment ID | O20240321002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225668684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Annalise Hammerlund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295297844 PECOS PAC ID: 4880031137 Enrollment ID: I20240321002424 |
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