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139 Education, Llc
Psychologist in Grand Rapids, Michigan
NPI 1114290517

139 Education, Llc is a Psychologist based in Grandville, MI. 139 Education, Llc practices in Grand Rapids, MI. The NPI Number for 139 Education, Llc is 1114290517 and holds a License No. 6301009353 (Michigan).

The current practice location address for 139 Education, Llc is 1971 E Beltline Ave Ne, Grand Rapids, MI and can be reached out via phone at 800-600-4096.

Location: 1971 E Beltline Ave Ne, Grand Rapids, MI, 49418-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114290517
Provider Name
139 Education, Llc
Credential
Provider Entity Type
Organization
Address
1971 E Beltline Ave Ne, Grand Rapids, MI, 49418-1602
Phone Number
800-600-4096
Fax Number
Provider Enumeration Date
02/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013294628 01 MI NPI #
0D14689 01 MI BLUE CROSS BLUE SHIELD OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
1971 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-7045
Phone Number
800-600-4096
Fax Number
person
Provider Business Mailing Address Details
Address
1971 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-7045
Phone Number
800-600-4096
Fax Number
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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