Organization
WAY TO THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY WAAYENBERG MA,LLPC (OWNER)
(616) 570-7132
Entity
Organization
Contact information
Practice address
2146 DIVISION AVE S, GRAND RAPIDS, MI 49507-3031
(616) 287-5375
Mailing address
2146 DIVISION AVE S, GRAND RAPIDS, MI 49507-3031
(616) 287-5375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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