| New Revelation Counseling Service Llc | |
|
975 Spaulding Ave Se Ste D Ada MI 49301-3776 | |
| (616) 888-4353 | |
| Not Available |
| Full Name | New Revelation Counseling Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 975 Spaulding Ave Se Ste D, Ada, Michigan |
| Authorized Official Name and Position | Michael Robert Richman (OWNER/LICENSED COUNSELOR) |
| Authorized Official Contact | 6168884353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Revelation Counseling Service Llc 1658 Diamond Ct Ne Grand Rapids MI 49505-4869 Ph: (616) 888-4353 | New Revelation Counseling Service Llc 975 Spaulding Ave Se Ste D Ada MI 49301-3776 Ph: (616) 888-4353 |
| NPI Number | 1649732116 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649732116 | NPI | - | NPPES |
| 1609292333 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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