| Real Talk Therapy Pllc | |
|
6255 28th St. Se Suite 3, Offices C&d Grand Rapids MI 49546 | |
| (231) 286-2355 | |
| Not Available |
| Full Name | Real Talk Therapy Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6255 28th St. Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Nicholas Mark Lange (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2312862355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Talk Therapy Pllc 599 Oak Meadow Dr Middleville MI 49333-8478 Ph: (231) 286-2355 | Real Talk Therapy Pllc 6255 28th St. Se Suite 3, Offices C&d Grand Rapids MI 49546 Ph: (231) 286-2355 |
| NPI Number | 1770367237 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770367237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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