Organization
RENEWED CLARITY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA LYNN VANDER KOOI LPC (OWNER/THERAPIST)
(616) 822-5518
Entity
Organization
Contact information
Practice address
2663 44TH ST SW STE 106, WYOMING, MI 49519-4189
(616) 822-5518
Mailing address
7400 EMERALD WOODS DR SE, BYRON CENTER, MI 49315-8977
(616) 822-5518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6401007890
MI
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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