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Organization
CONVERGENCE PSYCHOLOGICAL PLC
Active
Organization
CONVERGENCE PSYCHOLOGICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN VOLMERING (ADMINISTRATIVE SPECIALIST)
(989) 817-2905
Entity
Organization
Contact information
Practice address
4604 N SAGINAW RD STE L, MIDLAND, MI 48640-2394
(989) 817-2905
(810) 777-7660
Mailing address
4604 N SAGINAW RD, MIDLAND, MI 48640-2387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/10/2025
Last updated
07/29/2026
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