Healthcare Provider Details

I. General information

NPI: 1891337226
Provider Name (Legal Business Name): MEGAN GIROUX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 LAKE EASTBROOK BLVD SE STE 222
GRAND RAPIDS MI
49546-5940
US

IV. Provider business mailing address

3501 LAKE EASTBROOK BLVD SE STE 222
GRAND RAPIDS MI
49546-5940
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-8060
  • Fax: 231-766-6569
Mailing address:
  • Phone: 616-209-8060
  • Fax: 231-766-6569

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: MEGAN GIROUX
Title or Position: OWNER
Credential: LMSW
Phone: 616-209-8060