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NPI Code Detail

MEDICARE: HEALING & GROWTH COUNSELING SERVICES

MEDICARE: HEALING & GROWTH COUNSELING SERVICES
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
1251S00000XCommunity/Behavioral Health Agency6801077510MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11639385263OTHERMINPI

General Provider Information

NPI Number : 1821549627
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING & GROWTH COUNSELING SERVICES
Provider Business Mailing Address
First Line : 107 WATER ST
Second Line : #206
City : BENTON HARBOR
State : MI
Zip : 49022-3451
Country : US
Telephone Number : 269-861-5084
Fax Number :
Provider Business Practice Location Address
First Line : 107 WATER ST
Second Line : #206
City : BENTON HARBOR
State : MI
Zip : 49022-3451
Country : US
Telephone Number : 269-861-5084
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MS. THORA GREAVES
Credential : LMSW
Telephone Number : 269-861-5084
Provider Enumeration Date : 10/18/2016
Last Update Date : 10/18/2016

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Directions to “HEALING & GROWTH COUNSELING SERVICES ” Practice Location

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