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Organization

BETH MELLEMA COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH GARDNER LMSW (OWNER)
(616) 240-6668
Entity
Organization

Contact information

Practice address
1550 E BELTLINE AVE SE STE 255, GRAND RAPIDS, MI 49506-4362
(616) 947-4440
Mailing address
2181 ENGLESIDE DR SE, GRAND RAPIDS, MI 49546-6224
(616) 240-6668

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/19/2020
Last updated
01/18/2024
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