| Rlj Counseling And Psychological | |
|
1500 E Beltline Ave Se Ste 105 Grand Rapids MI 49506-4361 | |
| (517) 483-2461 | |
| Not Available |
| Full Name | Rlj Counseling And Psychological |
|---|---|
| Speciality | Counselor |
| Location | 1500 E Beltline Ave Se Ste 105, Grand Rapids, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rlj Counseling And Psychological 1500 E Beltline Ave Se Ste 105 Grand Rapids MI 49506-4361 Ph: () - | Rlj Counseling And Psychological 1500 E Beltline Ave Se Ste 105 Grand Rapids MI 49506-4361 Ph: (517) 483-2461 |
| NPI Number | 1881268993 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Medicare PECOS PAC ID | 5597290205 |
|---|---|
| Medicare Enrollment ID | O20241118004072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Raelynn Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649761123 PECOS PAC ID: 2961939764 Enrollment ID: I20241218000329 |
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