| Melanie Fuentes Holistic Therapy Llc | |
|
751 Kenmoor Ave Se Ste D Grand Rapids MI 49546-2391 | |
| (616) 405-9482 | |
| Not Available |
| Full Name | Melanie Fuentes Holistic Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 751 Kenmoor Ave Se Ste D, Grand Rapids, Michigan |
| Authorized Official Name and Position | Melanie Jewel Fuentes (OWNER) |
| Authorized Official Contact | 6164059482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Fuentes Holistic Therapy Llc 1165 Griswold St Se Grand Rapids MI 49507-3812 Ph: (616) 405-9482 | Melanie Fuentes Holistic Therapy Llc 751 Kenmoor Ave Se Ste D Grand Rapids MI 49546-2391 Ph: (616) 405-9482 |
| NPI Number | 1023700903 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023700903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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