| First Light Counseling Llc | |
|
41 Washington Ave Ste 308 Grand Haven MI 49417-1587 | |
| (616) 414-4962 | |
| Not Available |
| Full Name | First Light Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 41 Washington Ave Ste 308, Grand Haven, Michigan |
| Authorized Official Name and Position | Adam Richard Shanty (OWNER) |
| Authorized Official Contact | 6164024502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Counseling Llc 1524 Slayton Ave Grand Haven MI 49417-2039 Ph: () - | First Light Counseling Llc 41 Washington Ave Ste 308 Grand Haven MI 49417-1587 Ph: (616) 414-4962 |
| NPI Number | 1861120537 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861120537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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