Organization
LAUREN BONNELL MA MLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BONNELL MA MLP (OWNER)
(616) 260-5400
Entity
Organization
Contact information
Practice address
1971 E BELTLINE AVE NE STE 1063526, GRAND RAPIDS, MI 49525-7045
(616) 260-5400
Mailing address
1971 E BELTLINE AVE NE STE 106, GRAND RAPIDS, MI 49525-7045
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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