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NPI Code Detail

MEDICARE: MRS. PAIGE BENEDICT LPC

MEDICARE:  MRS. PAIGE  BENEDICT  LPC
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
1101Y00000XCounselor6401226200MI

General Provider Information

NPI Number : 1720666530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAIGE BENEDICT LPC
Provider Business Mailing Address
First Line : 4630 PLAINFIELD AVE NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-1643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4630 PLAINFIELD AVE NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-1643
Country : US
Telephone Number : 616-227-0187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 05/27/2026

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Directions to “ MRS. PAIGE BENEDICT LPC” Practice Location

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