Truism Center | |
221 Trowbridge St Ne Apt 208 Grand Rapids MI 49503-1891 | |
(616) 499-7711 | |
Not Available |
Full Name | Truism Center |
---|---|
Speciality | Counselor |
Location | 221 Trowbridge St Ne Apt 208, Grand Rapids, Michigan |
Authorized Official Name and Position | Robb Kornoelje (OWNER) |
Authorized Official Contact | 6164997711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Truism Center 221 Trowbridge St Ne Apt 208 Grand Rapids MI 49503-1891 Ph: (616) 499-7711 | Truism Center 221 Trowbridge St Ne Apt 208 Grand Rapids MI 49503-1891 Ph: (616) 499-7711 |
NPI Number | 1336706480 |
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Provider Enumeration Date | 05/23/2019 |
Last Update Date | 05/23/2019 |
Medicare PECOS PAC ID | 8820538184 |
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Medicare Enrollment ID | O20240912003672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336706480 | NPI | - | NPPES |
6401017330 | Other | STATE OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Robb Kornoelje |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609432996 PECOS PAC ID: 2264972520 Enrollment ID: I20240912003820 |
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