Melissa Muir, LLP
Psychologist, Counseling in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1124474820
StatusActive
Last updated in NPPESOct 4, 2024
Details
- NPI
- 1124474820
- Entity type
- Individual (NPI-1)
- Name
- Melissa Muir
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2016
- Certification date
- Oct 4, 2024
- Last updated
- Oct 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 6301016678 | MI | Yes |
| 103TC1900X | Psychologist, Counseling | 6361001766 | MI |
Practice location
630 Kenmoor Ave Se Ste 101aGrand Rapids, MI 49546-8626
Phone 616-446-8436 · Fax 616-920-6536
Mailing address
630 Kenmoor Ave Se Ste 101aGrand Rapids, MI 49546-8626
Phone 616-446-8436 · Fax 616-920-6536
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