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Organization
NORTHWEST COUNSELING AND WELLNESS, PLLC
Active
Organization
NORTHWEST COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP ANTHONY HIMEBAUGH LPC (OWNER)
(231) 373-5798
Entity
Organization
Contact information
Practice address
106 N MICHIGAN AVE STE B, BIG RAPIDS, MI 49307-1481
(231) 373-5798
(833) 957-0137
Mailing address
106 N MICHIGAN AVE STE B, BIG RAPIDS, MI 49307-1481
(231) 373-5798
(833) 957-0137
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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