Organization
GR FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARIE GRANDY LPC, LLMFT (OWNER)
(616) 438-3861
Entity
Organization
Contact information
Practice address
401 HALL ST SE, GRAND RAPIDS, MI 49507-1845
(616) 438-3861
Mailing address
1900 UNION AVE SE, GRAND RAPIDS, MI 49507-2660
(616) 438-3861
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
06/11/2019
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