| West Michigan Eating Disorder Specialists | |
|
2905 Wilson Ave Sw Ste 252 Grandville MI 49418-1206 | |
| (616) 320-5111 | |
| Not Available |
| Full Name | West Michigan Eating Disorder Specialists |
|---|---|
| Speciality | Social Worker |
| Location | 2905 Wilson Ave Sw Ste 252, Grandville, Michigan |
| Authorized Official Name and Position | Rebecca Suggitt (OWNER) |
| Authorized Official Contact | 6163205111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Eating Disorder Specialists 2905 Wilson Ave Sw Ste 252 Grandville MI 49418-1206 Ph: () - | West Michigan Eating Disorder Specialists 2905 Wilson Ave Sw Ste 252 Grandville MI 49418-1206 Ph: (616) 320-5111 |
| NPI Number | 1477292480 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 3577931930 |
|---|---|
| Medicare Enrollment ID | O20221116002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477292480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rebecca J Suggitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043359144 PECOS PAC ID: 8325062995 Enrollment ID: I20060123000248 |
| Provider Name | Kassidy W Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780064121 PECOS PAC ID: 3779816368 Enrollment ID: I20190613002074 |
| Provider Name | Ashley D Ransley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174962724 PECOS PAC ID: 3870948698 Enrollment ID: I20231016000331 |
| Provider Name | Shelby Marie Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154081024 PECOS PAC ID: 0648613091 Enrollment ID: I20240213001902 |
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