Organization
DAVIS COUNSELING GROUP
Active
Other names
Davis Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTEN M DAVIS (OWNER)
(501) 319-3899
Entity
Organization
Contact information
Practice address
5030 CORPORATE EXCHANGE BLVD SE FL 2, GRAND RAPIDS, MI 49512-5506
(616) 315-1226
Mailing address
3940 PENINSULAR DR SE STE 230, GRAND RAPIDS, MI 49546-6187
(501) 319-3899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548671878
—
MI
Enumeration date
09/18/2024
Last updated
09/18/2024
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