| Project Reach Services Counseling & Personal Growth Center | |
|
3501 Lake Eastbrook Blvd Se Ste 110 Grand Rapids MI 49546-5966 | |
| (616) 249-8542 | |
| (616) 726-2463 |
| Full Name | Project Reach Services Counseling & Personal Growth Center |
|---|---|
| Speciality | Counselor |
| Location | 3501 Lake Eastbrook Blvd Se Ste 110, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lisa Townsend (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6162498542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Reach Services Counseling & Personal Growth Center 3501 Lake Eastbrook Blvd Se Ste 110 Grand Rapids MI 49546-5966 Ph: (616) 249-8542 | Project Reach Services Counseling & Personal Growth Center 3501 Lake Eastbrook Blvd Se Ste 110 Grand Rapids MI 49546-5966 Ph: (616) 249-8542 |
| NPI Number | 1952761777 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 3678863172 |
|---|---|
| Medicare Enrollment ID | O20160610001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952761777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801079470 (Michigan) | Primary |
| Provider Name | Lisa Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689805707 PECOS PAC ID: 4587954086 Enrollment ID: I20160610001238 |
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