Organization
KELLY AHTI, LMSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY AHTI LMSW (MENTAL HEALTH THERAPIST)
(616) 724-4705
Entity
Organization
Contact information
Practice address
4519 CASCADE RD SE STE 2, GRAND RAPIDS, MI 49546-8319
(616) 724-4705
Mailing address
4519 CASCADE RD SE STE 2, GRAND RAPIDS, MI 49546-8319
(616) 724-4705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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