| Raybrook Counseling Group Llc | |
|
2020 Raybrook St Se Suite 104-a Grand Rapids MI 49546-7717 | |
| (616) 977-5200 | |
| (866) 721-6199 |
| Full Name | Raybrook Counseling Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2020 Raybrook St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mary Ellen Rae Bertling-safford (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6169775200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raybrook Counseling Group Llc 2020 Raybrook St Se Suite 104-a Grand Rapids MI 49546-7717 Ph: (616) 977-5200 | Raybrook Counseling Group Llc 2020 Raybrook St Se Suite 104-a Grand Rapids MI 49546-7717 Ph: (616) 977-5200 |
| NPI Number | 1861665473 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861665473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401007799 (Michigan) | Primary |
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