Organization
PROOF WE EXIST THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE MCGAHEY LMSW-C (PLLC OWNER)
(734) 255-9822
Entity
Organization
Contact information
Practice address
625 KENMOOR AVE SE STE 350, GRAND RAPIDS, MI 49546-2395
(734) 255-9822
Mailing address
625 KENMOOR AVE SE STE 350, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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