Organization · Type 2 NPI

Adolescent and Family Behavioral Health Services

Psychologist · Grand Rapids, MI

NPI number 1184054652 Active

Practice location

3501 Lake Eastbrook Blvd SE, #258
Grand Rapids, MI 49546-5938

Call (616) 719-0194 Map

Fax (800) 219-5205

Mailing address

2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301015520 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1184054652

Adolescent and Family Behavioral Health Services's National Provider Identifier is 1184054652, issued on Nov 20, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 9, 2019.