Organization
PSYCHIATRY SPECIALISTS OF GRAND RAPIDS, PLLC
Active
Organization
PSYCHIATRY SPECIALISTS OF GRAND RAPIDS, PLLC
Active
Other names
THRIVE CENTER FOR HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE KREGER CRNA (BUSINESS MANAGER)
(616) 805-3350
Entity
Organization
Contact information
Practice address
847 PARCHMENT DR SE STE 15, GRAND RAPIDS, MI 49546-2303
(616) 805-3350
Mailing address
847 PARCHMENT DR SE STE 15, GRAND RAPIDS, MI 49546-2303
(616) 805-3350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301062800
PSYCHIATRY
MI
01
—
4704203886
CRNA
MI
Enumeration date
01/10/2022
Last updated
08/17/2023
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