Healthcare Provider Details

I. General information

NPI: 1225336175
Provider Name (Legal Business Name): WELL BEING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LEONARD ST NW STE G
GRAND RAPIDS MI
49504-4260
US

IV. Provider business mailing address

540 LEONARD ST NW STE G
GRAND RAPIDS MI
49504-4260
US

V. Phone/Fax

Practice location:
  • Phone: 616-458-6870
  • Fax: 616-458-6874
Mailing address:
  • Phone: 616-458-6870
  • Fax: 616-458-6874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY J PIERI
Title or Position: PARTNER
Credential: LMSW
Phone: 616-458-6870