The Change Studio | |
959 Lake Dr Se Grand Rapids MI 49506-1447 | |
(616) 259-5033 | |
(616) 452-1024 |
Full Name | The Change Studio |
---|---|
Speciality | Counselor - Professional |
Location | 959 Lake Dr Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Dana Patricia Price (OWNER/THERAPIST) |
Authorized Official Contact | 6162595033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Change Studio 959 Lake Dr Se Grand Rapids MI 49506-1447 Ph: (616) 259-5033 | The Change Studio 959 Lake Dr Se Grand Rapids MI 49506-1447 Ph: (616) 259-5033 |
NPI Number | 1548625080 |
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Provider Enumeration Date | 12/29/2015 |
Last Update Date | 12/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548625080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401010358 (Michigan) | Primary |
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