| Holistic Therapeutic Services, Pllc | |
|
1031 Courtney St Nw Grand Rapids MI 49504-3052 | |
| (616) 209-8343 | |
| Not Available |
| Full Name | Holistic Therapeutic Services, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1031 Courtney St Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jennifer Barajas (CEO/THERAPIST) |
| Authorized Official Contact | 6162098343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Therapeutic Services, Pllc 1031 Courtney St Nw Grand Rapids MI 49504-3052 Ph: (616) 209-8343 | Holistic Therapeutic Services, Pllc 1031 Courtney St Nw Grand Rapids MI 49504-3052 Ph: (616) 209-8343 |
| NPI Number | 1740815125 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740815125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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