COMMON GROUND COUNSELING AND WELLNESS LLC NPI 1730840760

NPI Information

NPI: 1730840760
Provider Name: COMMON GROUND COUNSELING AND WELLNESS LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
632 FULTON ST W
GRAND RAPIDS, MI
ZIP 49504
Phone: (616) 315-2020
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COMMON GROUND COUNSELING AND WELLNESS LLC is a mental health (including community mental health center) clinic center in Grand Rapids, MI. COMMON GROUND COUNSELING AND WELLNESS LLC NPI is 1730840760. The provider is registered as an organization entity type.

The provider's business location address is:

632 FULTON ST W
GRAND RAPIDS, MI
ZIP 49504-313
Phone: (616) 315-2020

The provider's authorized official is Elizabeth Zylstra .
The authorized official title is Therapist and has the following contact phone number (616) 315-2020.

The enumeration date for this NPI number is 1/3/2022 and was last updated on 1/3/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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