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NPI Code Detail

MEDICARE: RIANNE FARRIS LLC

MEDICARE: RIANNE FARRIS LLC
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
1101YP2500XProfessional Counselor6451023334MI

General Provider Information

NPI Number : 1811762974
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIANNE FARRIS LLC
Provider Business Mailing Address
First Line : 3544 RANGER DR UNIT 105
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49525-9814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 985 PARCHMENT DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3659
Country : US
Telephone Number : 616-425-2412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2023
Last Update Date : 11/20/2023

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Directions to “ RIANNE FARRIS LLC” Practice Location

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