Organization
GLV INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
5576 WELLER RD, GREGORY, MI 48137-9524
(517) 285-8707
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
6401000296
MI
Other
Enumeration date
02/25/2015
Last updated
03/15/2023
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