| Grand Rapids Integrative Therapy | |
|
4120 Chicago Dr Sw Ste 1 Grandville MI 49418-1281 | |
| (616) 889-6602 | |
| Not Available |
| Full Name | Grand Rapids Integrative Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4120 Chicago Dr Sw Ste 1, Grandville, Michigan |
| Authorized Official Name and Position | Desiree Andersen (OWNER) |
| Authorized Official Contact | 6168896602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Rapids Integrative Therapy 4120 Chicago Dr Sw Ste 1 Grandville MI 49418-1281 Ph: (616) 889-6602 | Grand Rapids Integrative Therapy 4120 Chicago Dr Sw Ste 1 Grandville MI 49418-1281 Ph: (616) 889-6602 |
| NPI Number | 1790420990 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790420990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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