| Creda Pllc | |
|
977 Ada Place Dr Se Grand Rapids MI 49546-3793 | |
| (616) 295-0691 | |
| Not Available |
| Full Name | Creda Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 977 Ada Place Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mario Gibson Franciscotty (OWNER) |
| Authorized Official Contact | 6162950691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creda Pllc 977 Ada Place Dr Se Grand Rapids MI 49546-3793 Ph: (616) 295-0691 | Creda Pllc 977 Ada Place Dr Se Grand Rapids MI 49546-3793 Ph: (616) 295-0691 |
| NPI Number | 1205633161 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205633161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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