Healthcare Provider Details

I. General information

NPI: 1902243066
Provider Name (Legal Business Name): BETH KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 01/09/2025
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S POSEYVILLE RD STE 4
MIDLAND MI
48640-8984
US

IV. Provider business mailing address

800 S POSEYVILLE RD STE 4
MIDLAND MI
48640-8984
US

V. Phone/Fax

Practice location:
  • Phone: 989-971-0035
  • Fax: 989-894-5874
Mailing address:
  • Phone: 989-971-0035
  • Fax: 989-894-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401006401
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: