| Great Lakes Wellness Counseling Llc | |
|
2900 Wilson Ave Suite 110 Grandville MI 49418 | |
| (616) 202-1910 | |
| (616) 383-9600 |
| Full Name | Great Lakes Wellness Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2900 Wilson Ave Suite 110, Grandville, Michigan |
| Authorized Official Name and Position | Nathan Hansen (OWNER) |
| Authorized Official Contact | 6162021910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Wellness Counseling Llc 2900 Wilson Ave Suite 110 Grandville MI 49418 Ph: (616) 202-1910 | Great Lakes Wellness Counseling Llc 2900 Wilson Ave Suite 110 Grandville MI 49418 Ph: (616) 202-1910 |
| NPI Number | 1437651916 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437651916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401012367 (Michigan) | Primary |
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