| The Family Therapy Place Pllc | |
|
731 Front Ave Nw Grand Rapids MI 49504-5366 | |
| (616) 916-7001 | |
| Not Available |
| Full Name | The Family Therapy Place Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 731 Front Ave Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Tracy Thompson (OWNER) |
| Authorized Official Contact | 6169167001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Therapy Place Pllc 430 Fairfield Ave Nw Grand Rapids MI 49504-4648 Ph: () - | The Family Therapy Place Pllc 731 Front Ave Nw Grand Rapids MI 49504-5366 Ph: (616) 916-7001 |
| NPI Number | 1255996575 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255996575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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