| Heart Walk Counseling, Llc | |
|
4829 E Beltline Ave Ne Ste 100 Grand Rapids MI 49525-9349 | |
| (616) 477-5694 | |
| Not Available |
| Full Name | Heart Walk Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rhea-alana Richardson (OWNER) |
| Authorized Official Contact | 6164775694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Walk Counseling, Llc 4829 E Beltline Ave Ne Ste 100 Grand Rapids MI 49525-9349 Ph: (616) 477-5694 | Heart Walk Counseling, Llc 4829 E Beltline Ave Ne Ste 100 Grand Rapids MI 49525-9349 Ph: (616) 477-5694 |
| NPI Number | 1780274076 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 7810428497 |
|---|---|
| Medicare Enrollment ID | O20241007003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780274076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rhea-alana Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699260596 PECOS PAC ID: 8729519301 Enrollment ID: I20241007003118 |
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