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NPI Code Detail

MEDICARE: SYNERGY HEALTH CENTER

MEDICARE: SYNERGY HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency6801081655MI

General Provider Information

NPI Number : 1568500023
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY HEALTH CENTER
Provider Business Mailing Address
First Line : 625 HARRISON ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3681
Country : US
Telephone Number : 269-323-1954
Fax Number : 269-323-4183
Provider Business Practice Location Address
First Line : 625 HARRISON ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3681
Country : US
Telephone Number : 269-323-1954
Fax Number : 269-323-4183
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. VALARIE S CUNNINGHAM
Credential : LMSW
Telephone Number : 269-323-1954
Provider Enumeration Date : 02/04/2007
Last Update Date : 11/01/2024

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1992163570 — JOANN MARCILOUS LLMSW
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49007-3681
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1336685692 — DARICE DARBY TLLP
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625 HARRISON ST
KALAMAZOO, MI
49007-3681
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1750861027 — MS. BUNNY REA JOHNSON LLMSW
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625 HARRISON ST
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49007-3681
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Directions to “SYNERGY HEALTH CENTER ” Practice Location

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