| 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 - Clinical |
| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063893907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090152 (Michigan) | Primary |
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