Renewed Clarity Counseling Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wyoming, MI. Organization (NPI-2).
NPI number1669993283
StatusActive
Last updated in NPPESJul 5, 2017
Details
- NPI
- 1669993283
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewed Clarity Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2017
- Last updated
- Jul 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 6401007890 | MI | Yes |
Practice location
2663 44th St Sw Ste 106Wyoming, MI 49519-4189
Phone 616-822-5518
Mailing address
7400 Emerald Woods Dr SeByron Center, MI 49315-8977
Phone 616-822-5518
Authorized official
Melissa Lynn Vander Kooi
Owner/Therapist
6168225518
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