Organization · NPI-2

Andrea Beck-Lundskow LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Grand Rapids, MI

NPI number1982242079
StatusActive
Last updated in NPPESDec 19, 2019

Details

NPI
1982242079
Entity type
Organization (NPI-2)
Legal business name
Andrea Beck-Lundskow LLC
Organization subpart
No
Enumeration date
Dec 19, 2019
Certification date
Dec 19, 2019
Last updated
Dec 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

4070 Lake Dr Se Ste 101
Grand Rapids, MI 49546-8294

Phone 616-213-3302

Mailing address

1145 Eastwood Ave Se
Grand Rapids, MI 49506-3579

Phone 616-308-7947

Authorized official

Andrea Lundskow
Owner
6163087947

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Grand Rapids, MI