| Adolescent And Family Behavioral Health Services | |
|
3501 Lake Eastbrook Blvd Se #258 Grand Rapids MI 49546-5938 | |
| (616) 719-0194 | |
| (800) 219-5205 |
| Full Name | Adolescent And Family Behavioral Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 3501 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Valencia Agnew (PSYCHOLOGIST) |
| Authorized Official Contact | 6167190194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent And Family Behavioral Health Services 2566 Woodmeadow Dr Se Grand Rapids MI 49546-8031 Ph: (616) 719-0194 | Adolescent And Family Behavioral Health Services 3501 Lake Eastbrook Blvd Se #258 Grand Rapids MI 49546-5938 Ph: (616) 719-0194 |
| NPI Number | 1184054652 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 02/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184054652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301015520 (Michigan) | Primary |
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