Organization
THIRD AGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CORCORAN CSW (OWNER)
(616) 490-9118
Entity
Organization
Contact information
Practice address
2762 PINE DUNES CT SW, WYOMING, MI 49418-9305
(616) 490-9118
(855) 490-2268
Mailing address
2762 PINE DUNES CT SW, WYOMING, MI 49418-9305
(616) 490-9118
(855) 490-2268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
06/01/2021
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