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Organization
TRIO WELLSPACE, LLC
Active
Organization
TRIO WELLSPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HENSON-BOONE LMSW (CO-OWNER)
(616) 298-2731
Entity
Organization
Contact information
Practice address
486 CENTURY LN, HOLLAND, MI 49423-4295
(616) 886-1265
Mailing address
486 CENTURY LN, HOLLAND, MI 49423-4295
(616) 298-2731
(616) 298-2682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/18/2021
Last updated
12/20/2024
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