| Compassionate Couch Therapy | |
|
2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 | |
| (616) 227-0806 | |
| (616) 226-4621 |
| Full Name | Compassionate Couch Therapy |
|---|---|
| Speciality | Counselor |
| Location | 2050 Breton Rd Se Ste 104, Grand Rapids, Michigan |
| Authorized Official Name and Position | Julie Edwards (EMPLOYEE) |
| Authorized Official Contact | 6162270806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Couch Therapy 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: (616) 227-0806 | Compassionate Couch Therapy 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: (616) 227-0806 |
| NPI Number | 1528806437 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 6305375072 |
|---|---|
| Medicare Enrollment ID | O20250124001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528806437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Julie L Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285997023 PECOS PAC ID: 3072809482 Enrollment ID: I20241118002943 |
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