Healthcare Provider Details

I. General information

NPI: 1437677523
Provider Name (Legal Business Name): AN ALLY WHO CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6608 BURGER DR SE
GRAND RAPIDS MI
49546-7212
US

IV. Provider business mailing address

6608 BURGER DR SE
GRAND RAPIDS MI
49546-7212
US

V. Phone/Fax

Practice location:
  • Phone: 616-634-9091
  • Fax:
Mailing address:
  • Phone: 616-634-9091
  • Fax:

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: MS. ALLYSON LEIGH STEIN
Title or Position: OWNER
Credential: MSW
Phone: 616-634-9091