Larkspur Mental Wellness PLLC
Counselor in Kalamazoo, MI. Organization (NPI-2).
NPI number1669102497
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1669102497
- Entity type
- Organization (NPI-2)
- Legal business name
- Larkspur Mental Wellness PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
5955 W Main StKalamazoo, MI 49009-8700
Phone 269-251-3272 · Fax 269-210-2697
Mailing address
239 E Michigan Ave # 302Paw Paw, MI 49079-1427
Phone 269-251-3272
Authorized official
Christina Gayle Collins
Owner
2692513272
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