THE ORELLANA INSITITUTE PC NPI 1922120955

NPI Information

NPI: 1922120955
Provider Name: THE ORELLANA INSITITUTE PC

Doing Business As: THE ORELLANA INSTITUTE PC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
832 FOREST HILL AVE SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 940-9001
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THE ORELLANA INSITITUTE PC is a mental health counselor in Grand Rapids, MI. THE ORELLANA INSITITUTE PC NPI is 1922120955. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Orellana Institute Pc.

The provider's business location address is:

832 FOREST HILL AVE SE
GRAND RAPIDS, MI
ZIP 49546-326
Phone: (616) 940-9001
Fax: (616) 940-7355

The provider's authorized official is Elbin Alfredo Orellana .
The authorized official title is President and has the following contact phone number (616) 940-9001.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/20/2008.

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	EO045303	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	MICHIGAN	TAX ID
2	ON50610001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE
3	101761232	MEDICAID	MICHIGAN
4	B43008	MEDICARE UPIN	MICHIGAN
5	260D110460	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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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