Kelly Ahti, Lmsw Pllc | |
4519 Cascade Rd Se Ste 2 Grand Rapids MI 49546-8319 | |
(616) 724-4705 | |
Not Available |
Full Name | Kelly Ahti, Lmsw Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4519 Cascade Rd Se Ste 2, Grand Rapids, Michigan |
Authorized Official Name and Position | Kelly Ahti (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 6167244705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelly Ahti, Lmsw Pllc 4519 Cascade Rd Se Ste 2 Grand Rapids MI 49546-8319 Ph: (616) 724-4705 | Kelly Ahti, Lmsw Pllc 4519 Cascade Rd Se Ste 2 Grand Rapids MI 49546-8319 Ph: (616) 724-4705 |
NPI Number | 1992362347 |
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Provider Enumeration Date | 05/21/2019 |
Last Update Date | 05/21/2019 |
Identifier | Type | State | Issuer |
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1992362347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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