| Squad Counseling Llc | |
|
2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 | |
| (616) 202-6521 | |
| Not Available |
| Full Name | Squad Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2050 Breton Rd Se Ste 104, Grand Rapids, Michigan |
| Authorized Official Name and Position | Bethany Gravert (OWNER) |
| Authorized Official Contact | 6162042087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Squad Counseling Llc 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: () - | Squad Counseling Llc 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: (616) 202-6521 |
| NPI Number | 1205632429 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 04/27/2025 |
| Certification Date | 04/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205632429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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