Organization
HEADWATERS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH A LOUWERSE PSY.D. (CLINICAL PSYCHOLOGIST)
(616) 259-5452
Entity
Organization
Contact information
Practice address
201 W WASHINGTON AVE STE 280, ZEELAND, MI 49464-1074
(616) 259-5452
(616) 236-0875
Mailing address
201 W WASHINGTON AVE STE 280, ZEELAND, MI 49464-1074
(616) 259-5452
(616) 236-0875
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015112
MI
103TC0700X
Clinical Psychologist
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—
Other
Enumeration date
09/17/2016
Last updated
09/11/2023
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