| Therapy Evolve | |
|
2976 Ivanrest Ave Sw Ste 100 Grandville MI 49418-2932 | |
| (616) 303-4422 | |
| Not Available |
| Full Name | Therapy Evolve |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2976 Ivanrest Ave Sw Ste 100, Grandville, Michigan |
| Authorized Official Name and Position | Desiree Andersen (OWNER) |
| Authorized Official Contact | 6163034422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Evolve 2976 Ivanrest Ave Sw Ste 100 Grandville MI 49418-2932 Ph: () - | Therapy Evolve 2976 Ivanrest Ave Sw Ste 100 Grandville MI 49418-2932 Ph: (616) 303-4422 |
| NPI Number | 1346940384 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346940384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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