| Mandi Withey, Ms, Llp, Pllc | |
|
4100 Picea Valley Ct Se Ada MI 49301-8587 | |
| (616) 894-2234 | |
| Not Available |
| Full Name | Mandi Withey, Ms, Llp, Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4100 Picea Valley Ct Se, Ada, Michigan |
| Authorized Official Name and Position | Mandi Withey (OWNER) |
| Authorized Official Contact | 6168942234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Withey, Ms, Llp, Pllc 4100 Picea Valley Ct Se Ada MI 49301-8587 Ph: (616) 894-2234 | Mandi Withey, Ms, Llp, Pllc 4100 Picea Valley Ct Se Ada MI 49301-8587 Ph: (616) 894-2234 |
| NPI Number | 1962020867 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962020867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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