| Thethirdchair | |
|
648 Monroe Ave Nw Suite 100 Grand Rapids MI 49503-1452 | |
| (616) 916-3711 | |
| (616) 825-6015 |
| Full Name | Thethirdchair |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 648 Monroe Ave Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Scott Mcknight (DIRECTOR, FOUNDER) |
| Authorized Official Contact | 6169163711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thethirdchair 648 Monroe Ave Nw Suite 100 Grand Rapids MI 49503-1452 Ph: (616) 916-3711 | Thethirdchair 648 Monroe Ave Nw Suite 100 Grand Rapids MI 49503-1452 Ph: (616) 916-3711 |
| NPI Number | 1376820860 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376820860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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