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Organization
ENLIGHTENED COUNSELING & WELLNESS PLLC
Active
Organization
ENLIGHTENED COUNSELING & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE BUSSEMA LMSW (OWNER/CEO)
(269) 760-6651
Entity
Organization
Contact information
Practice address
7912 S 8TH ST, KALAMAZOO, MI 49009-8955
(269) 760-6651
Mailing address
23730 38TH AVE, MATTAWAN, MI 49071-8692
(269) 760-6651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013467083
PERSONAL NPI
MI
Enumeration date
02/13/2023
Last updated
11/22/2024
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