# KRYSTAL STROTBAUM LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164982849
- **Authorized official:** KRYSTAL STROTBAUM LMFT (OWNER)
- **Authorized official phone:** (616) 229-0400

## Contact information

- **Practice address:** 2900 CHARLEVOIX DR SE STE 360, GRAND RAPIDS, MI 49546-7049
- **Practice address phone:** (616) 229-0400
- **Practice address fax:** (616) 591-5624
- **Mailing address:** 2900 CHARLEVOIX DR SE STE 360, GRAND RAPIDS, MI 49546-7049
- **Mailing address phone:** (616) 229-0400
- **Mailing address fax:** (616) 591-5624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 01/03/2022