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General NPI Number Information
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NPI Number | 1588412134
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Entity Type | Organization
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Legal Business Name | AMY ZEILSTRA COUNSELING
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Dates
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Enumeration Date | 05/08/2024
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 734 ALGER ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-3593
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Country | US
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Telephone | 616-970-1138
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Fax |
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Provider Business Mailing Address
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Address Line | 266 AURORA ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-3124
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Country | US
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Telephone | 616-970-1138
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMY LYNN ZEILSTRA
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Credential | LMSW
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Telephone | 616-970-1138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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