Healthcare Provider Details

I. General information

NPI: 1114719549
Provider Name (Legal Business Name): LINEY FIGUEROA-ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 FULTON ST W
GRAND RAPIDS MI
49504-5313
US

IV. Provider business mailing address

100 DIANA AVE
MUSKEGON MI
49442-3439
US

V. Phone/Fax

Practice location:
  • Phone: 231-327-3765
  • Fax:
Mailing address:
  • Phone: 231-327-3765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851120147
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: