MADD HEALING AND LIFE COACHING NPI 1134701774

NPI Information

NPI: 1134701774
Provider Name: MADD HEALING AND LIFE COACHING

Doing Business As: MADD HEALING AND LIFE COACHING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
401 HALL ST SW STE 112J
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 719-7164
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MADD HEALING AND LIFE COACHING is a mental health counselor in Grand Rapids, MI. MADD HEALING AND LIFE COACHING NPI is 1134701774. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Madd Healing And Life Coaching.

The provider's business location address is:

401 HALL ST SW STE 112J
GRAND RAPIDS, MI
ZIP 49503-501
Phone: (616) 719-7164

The provider's authorized official is Keisha Mcdonald-griffin .
The authorized official title is Owner and has the following contact phone number (616) 719-7164.

The enumeration date for this NPI number is 4/23/2021 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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