Healthcare Provider Details
I. General information
NPI: 1194505602
Provider Name (Legal Business Name): NEW NARRATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2040 RAYBROOK ST SE STE 201-E
GRAND RAPIDS MI
49546-7739
US
IV. Provider business mailing address
2040 RAYBROOK ST SE STE 201-E
GRAND RAPIDS MI
49546-7739
US
V. Phone/Fax
- Phone: 616-284-1525
- Fax:
- Phone: 616-284-1525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAUDE
JOSHUA
NAVE
Title or Position: OWNER
Credential: LMSW
Phone: 616-284-1525