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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