| Gr Therapy Group | |
|
500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 | |
| (616) 591-9000 | |
| (616) 591-9060 |
| Full Name | Gr Therapy Group |
|---|---|
| Speciality | Psychologist |
| Location | 500 Cascade West Pkwy Se Ste 240, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tanya Marie Jansen (PRACTICE MANAGER) |
| Authorized Official Contact | 6165919000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gr Therapy Group 500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 Ph: (616) 591-9000 | Gr Therapy Group 500 Cascade West Pkwy Se Ste 240 Grand Rapids MI 49546-2166 Ph: (616) 591-9000 |
| NPI Number | 1295211076 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295211076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301012067 (Michigan) | Primary |
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