Organization
BRIGHT AURA THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA LEA FRIDLEY LMSW (OWNER)
(616) 437-2197
Entity
Organization
Contact information
Practice address
2040 RAYBROOK ST SE STE 302, GRAND RAPIDS, MI 49546-7718
(616) 437-2197
Mailing address
10188 76TH ST SE, ALTO, MI 49302-9640
(616) 437-2197
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/10/2024
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