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Organization
GRAND RAPIDS INTEGRATIVE THERAPY LLC
Active
Organization
GRAND RAPIDS INTEGRATIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE ANDERSEN (OWNER)
(616) 889-6602
Entity
Organization
Contact information
Practice address
4120 CHICAGO DR SW STE 4, GRANDVILLE, MI 49418-1281
(616) 889-6602
Mailing address
4120 CHICAGO DR SW STE 4, GRANDVILLE, MI 49418-1281
(616) 889-6602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
08/31/2025
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