Organization
CLEARWATER COUNSELING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA HOMRICH (OWNER)
(616) 304-6158
Entity
Organization
Contact information
Practice address
1525 E BELTLINE SE, GRAND RAPIDS, MI 49525-4598
(616) 304-6158
Mailing address
1525 E BELTLINE SE, GRAND RAPIDS, MI 49525-4598
(616) 304-6158
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013517
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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