Organization
MIDTOWN COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RENEE VANWYNGARDEN M.A, L.P.C (EXECUTIVE DIRECTOR)
(616) 990-4441
Entity
Organization
Contact information
Practice address
96 W 15TH ST STE 208-9, HOLLAND, MI 49423-3370
(616) 990-4441
Mailing address
96 W 15TH ST STE 208-9, HOLLAND, MI 49423-3370
(616) 990-4441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401010773
MI
Other
Enumeration date
01/23/2009
Last updated
04/25/2014
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