| Mindful Trajectories | |
|
3280 Beltlne Ct Ne Grand Rapids MI 49525 | |
| (616) 490-4563 | |
| Not Available |
| Full Name | Mindful Trajectories |
|---|---|
| Speciality | Social Worker |
| Location | 3280 Beltlne Ct Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Allison R Kunde (OWNER) |
| Authorized Official Contact | 6164904563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Trajectories 3280 Beltlne Ct Ne Grand Rapids MI 49525 Ph: (616) 490-4563 | Mindful Trajectories 3280 Beltlne Ct Ne Grand Rapids MI 49525 Ph: (616) 490-4563 |
| NPI Number | 1821558958 |
|---|---|
| Provider Enumeration Date | 03/24/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Medicare PECOS PAC ID | 5698109478 |
|---|---|
| Medicare Enrollment ID | O20200103000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821558958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison Kunde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417200916 PECOS PAC ID: 2769753276 Enrollment ID: I20170802000612 |
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