| Therapy With Nicole Pllc | |
|
4867 E. Beltline Ave. Ne Building #1 Lower Level Grand Rapids MI 49525 | |
| (616) 258-0147 | |
| Not Available |
| Full Name | Therapy With Nicole Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4867 E. Beltline Ave. Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Nicole Vega (OWNER/CLINICIAN) |
| Authorized Official Contact | 6162580147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy With Nicole Pllc 4755 Hidden Highland Dr Ne Rockford MI 49341-7376 Ph: (616) 204-7534 | Therapy With Nicole Pllc 4867 E. Beltline Ave. Ne Building #1 Lower Level Grand Rapids MI 49525 Ph: (616) 258-0147 |
| NPI Number | 1053928507 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053928507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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