| Merrill Graham Llc | |
|
1550 E Beltline Ave Se Ste 340 Grand Rapids MI 49506-4362 | |
| (616) 210-3888 | |
| Not Available |
| Full Name | Merrill Graham Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1550 E Beltline Ave Se Ste 340, Grand Rapids, Michigan |
| Authorized Official Name and Position | Merrill Graham (CLINICIAN) |
| Authorized Official Contact | 6162103888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrill Graham Llc 3037 Riverwoods Dr Ne Rockford MI 49341-9290 Ph: (616) 914-6331 | Merrill Graham Llc 1550 E Beltline Ave Se Ste 340 Grand Rapids MI 49506-4362 Ph: (616) 210-3888 |
| NPI Number | 1841860616 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/24/2021 |
| Medicare PECOS PAC ID | 1951705706 |
|---|---|
| Medicare Enrollment ID | O20210802001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841860616 | NPI | - | NPPES |
| OD14559 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Merrill E Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205999174 PECOS PAC ID: 2365528593 Enrollment ID: I20080327000481 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |