| Family Wholeness Pllc | |
|
800 Monroe Ave Nw Ste 202 Grand Rapids MI 49503 | |
| (214) 212-2703 | |
| Not Available |
| Full Name | Family Wholeness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 800 Monroe Ave Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sophia Dykstra (OWNER) |
| Authorized Official Contact | 6169201892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wholeness Pllc 1680 44th St Se Unit 88333 Grand Rapids MI 49518-5050 Ph: (214) 212-2703 | Family Wholeness Pllc 800 Monroe Ave Nw Ste 202 Grand Rapids MI 49503 Ph: (214) 212-2703 |
| NPI Number | 1790416881 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790416881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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