institution
Georgianna Poulos Lmsw Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, Michigan
NPI 1538920558

Georgianna Poulos Lmsw Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Grand Rapids, MI and is specialized in Mental Health (Including Community Mental Health Center). Georgianna Poulos Lmsw Llc practices in Grand Rapids, MI. The NPI Number for Georgianna Poulos Lmsw Llc is 1538920558 and holds a License No. (Michigan).

The current practice location address for Georgianna Poulos Lmsw Llc is 800 Monroe Ave Nw Ste 214, Grand Rapids, MI and can be reached out via phone at 734-807-0207.

Location: 800 Monroe Ave Nw Ste 214, Grand Rapids, MI, 49503-1449
institution
Provider Profile Details
NPI Number
1538920558
Provider Name
Georgianna Poulos Lmsw Llc
Credential
Provider Entity Type
Organization
Address
800 Monroe Ave Nw Ste 214, Grand Rapids, MI, 49503-1449
Phone Number
734-807-0207
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
800 Monroe Ave Nw Ste 214
City
State
Zip
49503-1449
Phone Number
734-807-0207
Fax Number
person
Provider Business Mailing Address Details
Address
800 Monroe Ave Nw Ste 214
City
State
Zip
49503-1449
Phone Number
734-807-0207
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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