| Soar Trauma Therapy, Llc | |
|
3143 Plaza Dr Ne Apt 4 Grand Rapids MI 49525-2974 | |
| (616) 200-7973 | |
| Not Available |
| Full Name | Soar Trauma Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3143 Plaza Dr Ne Apt 4, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tarah Hipple-thomas (OWNER) |
| Authorized Official Contact | 8109389359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar Trauma Therapy, Llc 5110 28th St Se # 1079 Grand Rapids MI 49512-2049 Ph: () - | Soar Trauma Therapy, Llc 3143 Plaza Dr Ne Apt 4 Grand Rapids MI 49525-2974 Ph: (616) 200-7973 |
| NPI Number | 1740989748 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740989748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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