Organization
WEDGWOOD CHRISTAIN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GERARD JOHNSON SR. LPC (THERAPIST)
(616) 559-5835
Entity
Organization
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 559-5835
(616) 281-6448
Mailing address
8117 CRESTVIEW AVE, JENISON, MI 49428-9124
(616) 706-0204
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100594
ADDICTION COUNSELOR
MI
01
—
6401008579
PROFESSIONAL COUNSELOR
MI
Enumeration date
03/14/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us