Michigan Wellness Services LLC
Counselor in Kentwood, MI. Organization (NPI-2).
NPI number1043051667
StatusActive
Last updated in NPPESMay 31, 2025
Details
- NPI
- 1043051667
- Entity type
- Organization (NPI-2)
- Legal business name
- Michigan Wellness Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2024
- Certification date
- May 31, 2025
- Last updated
- May 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1401 60th St Se Ste BKentwood, MI 49508-7065
Phone 616-238-6690
Mailing address
1401 60th St Se Ste BKentwood, MI 49508-7065
Phone 616-238-6690
Authorized official
Laurel Rae Backing
Counselor
6162386690
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