Whalio Doctors

NPI 1306050596

Encompass

Organisation Psychoanalyst Grand Rapids, MI

Practice location

Address
4829 E. Beltline NE Bldg #1, Grand Rapids, MI 49525
Phone
(800) 788-8630
Fax
(616) 459-9181

Authorised official

Name
Alison A. Brown
Title
Ceoowner
Phone
(616) 459-9180

Registered specialties (2)

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 6801064268 (MI)

Registry record

NPI
1306050596
Entity type
Organization
NPI issued
9 May 2007
Record last updated
17 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.