| Shanna Housman Llc | |
|
610 S 160th Ave Holland MI 49423-6706 | |
| (307) 256-8410 | |
| Not Available |
| Full Name | Shanna Housman Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 610 S 160th Ave, Holland, Michigan |
| Authorized Official Name and Position | Shanna Aline Housman (OWNER) |
| Authorized Official Contact | 3072568410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Housman Llc 610 S 160th Ave Holland MI 49423-6706 Ph: (307) 256-8410 | Shanna Housman Llc 610 S 160th Ave Holland MI 49423-6706 Ph: (307) 256-8410 |
| NPI Number | 1609603596 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609603596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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