GRAND RAPIDS INTEGRATIVE THERAPY NPI 1790420990

NPI Information

NPI: 1790420990
Provider Name: GRAND RAPIDS INTEGRATIVE THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
401 HALL ST SW STE 112L
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 889-6602
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GRAND RAPIDS INTEGRATIVE THERAPY is a mental health counselor in Grand Rapids, MI. GRAND RAPIDS INTEGRATIVE THERAPY NPI is 1790420990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 HALL ST SW STE 112L
GRAND RAPIDS, MI
ZIP 49503-988
Phone: (616) 889-6602

The provider's authorized official is Desiree Andersen .
The authorized official title is Owner and has the following contact phone number (616) 889-6602.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.

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	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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