MEDICARE: MARIPOSA COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1801527528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIPOSA COUNSELING LLC

Provider Business Mailing Address
First Line	:	1345 MONROE AVE NW STE 323
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-4674
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 MONROE AVE NW STE 323
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-4674
Country	:	US
Telephone Number	:	616-284-1329
Fax Number	:

Authorized Official
Title or Position	:	OWNER/FOUNDER
Name	:	ALAINA SMITH
Credential	:	MA, LPC, CAADC, CSAT
Telephone Number	:	616-284-1329

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	04/29/2024

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Directions to “MARIPOSA COUNSELING LLC ” Practice Location

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