Organization
POTENTIAL LLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MILLER (OWNER/PROVIDER)
(616) 828-2788
Entity
Organization
Contact information
Practice address
5005 PLAINFIELD AVE NE STE 100, GRAND RAPIDS, MI 49525-2087
(616) 828-2788
(616) 608-4657
Mailing address
144 OAKES ST SW APT 1307, GRAND RAPIDS, MI 49503-3148
(616) 828-2788
(616) 608-4657
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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