| Grace Haven Counseling, Llc | |
|
4565 Wilson Ave Sw Ste. 4a Grandville MI 49418-2371 | |
| (616) 745-2387 | |
| (616) 432-3059 |
| Full Name | Grace Haven Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4565 Wilson Ave Sw, Grandville, Michigan |
| Authorized Official Name and Position | Lori Lee Vanharmelen (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6167800402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Haven Counseling, Llc 4565 Wilson Ave Sw Ste. 4a Grandville MI 49418-2371 Ph: (616) 745-2387 | Grace Haven Counseling, Llc 4565 Wilson Ave Sw Ste. 4a Grandville MI 49418-2371 Ph: (616) 745-2387 |
| NPI Number | 1063893907 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Medicare PECOS PAC ID | 8820363377 |
|---|---|
| Medicare Enrollment ID | O20171009002603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063893907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090152 (Michigan) | Primary |
| Provider Name | Lori L Vanharmelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184001299 PECOS PAC ID: 9739454281 Enrollment ID: I20171009002712 |
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