WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC NPI 1508228966

NPI Information

WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC is a professional counselor in Grand Rapids, MI. WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC NPI is 1508228966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5070 CASCADE RD SE
SUITE 220
GRAND RAPIDS, MI
ZIP 49546-422
Phone: (616) 977-5200

The provider's authorized official is Mary Ellen R Bertling-safford .
The authorized official title is Owner and has the following contact phone number (616) 977-5200.

The CLIA number assigned to this NPI record is 23D0879676 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 3/24/2016.

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:

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