| Heal-encourage-motivate | |
|
2025 E Beltline Ave Se Grand Rapids MI 49546-7630 | |
| (616) 202-6542 | |
| Not Available |
| Full Name | Heal-encourage-motivate |
|---|---|
| Speciality | Social Worker |
| Location | 2025 E Beltline Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tahleekah Partee-young (MENTAL HEALTH PRACTITIONER) |
| Authorized Official Contact | 6162026542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal-encourage-motivate 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 202-6542 | Heal-encourage-motivate 2025 E Beltline Ave Se Grand Rapids MI 49546-7630 Ph: (616) 202-6542 |
| NPI Number | 1104579473 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 12/28/2023 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 1153764113 |
|---|---|
| Medicare Enrollment ID | O20240206003765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104579473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tahleekah Partee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700157005 PECOS PAC ID: 9830313287 Enrollment ID: I20140605000647 |
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