Organization
STANGE CLINIC, PC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN BEDFORD MA, LLP (DIRECTOR)
(616) 951-1132
Entity
Organization
Contact information
Practice address
2305 E PARIS AVE SE STE 203, GRAND RAPIDS, MI 49546-2426
(616) 816-1758
(616) 333-7685
Mailing address
7150 ARMADALE CT NE, BELMONT, MI 49306-9690
(586) 764-6671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/14/2022
Last updated
07/05/2026
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