Organization
WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN R BERTLING-SAFFORD LPC (OWNER)
(616) 920-0823
Entity
Organization
Contact information
Practice address
1034 LOOKOUT RDG, MESQUITE, NV 89034-1195
(616) 920-0823
Mailing address
1034 LOOKOUT RDG, MESQUITE, NV 89034-1195
(616) 920-0823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/24/2016
Last updated
12/28/2023
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