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139 Education, Llc.
Psychologist in Grandville, Michigan
NPI 1013294628

139 Education, Llc. is a Psychologist based in Grand Rapids, MI. 139 Education, Llc. practices in Grandville, MI. The NPI Number for 139 Education, Llc. is 1013294628 and holds a License No. 6301009353 (Michigan).

The current practice location address for 139 Education, Llc. is 3148 44Th St Sw, Grandville, MI and can be reached out via phone at 800-600-4096 and via fax at 800-606-8839.

Location: 3148 44Th St Sw, Grandville, MI, 49503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013294628
Provider Name
139 Education, Llc.
Credential
Provider Entity Type
Organization
Address
3148 44Th St Sw, Grandville, MI, 49503
Phone Number
800-600-4096
Fax Number
800-606-8839
Provider Enumeration Date
11/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0D14689 01 MI BLUE CROSS BLUE SHIELD OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
3148 44Th St Sw
City
Grandville
State
Michigan
Zip
49418
Phone Number
800-600-4096
Fax Number
800-606-8839
person
Provider Business Mailing Address Details
Address
3148 44Th St Sw
City
Grandville
State
Michigan
Zip
49418
Phone Number
800-600-4096
Fax Number
800-606-8839
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
6301009353 (Michigan)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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