Defining Moments Counseling & Consultation, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Kalamazoo, MI. Organization (NPI-2).
NPI number1104417872
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1104417872
- Entity type
- Organization (NPI-2)
- Legal business name
- Defining Moments Counseling & Consultation, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2021
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
108 S Lauderdale DrKalamazoo, MI 49006-4348
Phone 269-352-6713
Mailing address
108 S Lauderdale DrKalamazoo, MI 49006-4348
Phone 269-352-6713
Other practice locations
5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181
Kalamazoo, MI 49009-2181
Phone 269-372-4140
Authorized official
Caroline M Ray
Authorized Agent
2693526713
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