Becoming You Therapy PLLC
Social Worker, Clinical in Grand Rapids, MI. Organization (NPI-2).
NPI number1982203485
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1982203485
- Entity type
- Organization (NPI-2)
- Legal business name
- Becoming You Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2346 Mission Hills Dr SeGrand Rapids, MI 49546-7804
Phone 616-259-5444
Mailing address
4310 Leonard St Nw Ste 103Walker, MI 49534-8447
Authorized official
Marie Dershem
Owner
6162595444
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