Organization
MICAH WHITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH WHITE PHD, LP (OWNER)
(616) 822-9713
Entity
Organization
Contact information
Practice address
320 LAWNDALE AVE NE, GRAND RAPIDS, MI 49503-3738
(616) 822-9713
Mailing address
320 LAWNDALE AVE NE, GRAND RAPIDS, MI 49503-3738
(616) 822-9713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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