Changing Seasons Therapy PLLC
Counselor, Mental Health in Grand Rapids, MI. Organization (NPI-2).
NPI number1730932575
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1730932575
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing Seasons Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Changing Seasons Therapy PLLC (Doing Business As)
Practice location
2036 Lafayette Ave NeGrand Rapids, MI 49505-6239
Phone 616-291-9720
Mailing address
2036 Lafayette Ave NeGrand Rapids, MI 49505-6239
Phone 616-291-9720
Authorized official
Sasha R Brattain
Owner
6162919720
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