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Organization

HEALING & GROWTH COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. THORA GREAVES LMSW (THERAPIST)
(269) 861-5084
Entity
Organization

Contact information

Practice address
107 WATER ST, #206, BENTON HARBOR, MI 49022-3451
(269) 861-5084
Mailing address
107 WATER ST, #206, BENTON HARBOR, MI 49022-3451
(269) 861-5084

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801077510
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639385263
NPI
MI
Enumeration date
10/18/2016
Last updated
10/18/2016
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