Individual provider · Type 1 NPI

Teresa Sofia Elam, TLLP

Mental Health Counselor · Grand Rapids, MI

NPI number 1497373930 Active

Practice location

901 Eastern Ave NE
Grand Rapids, MI 49503

Call (616) 256-3174 Map

Fax (616) 827-0762

Mailing address

3701 Heron Ave SW
Wyoming, MI 49509

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6362002072 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1497373930

Teresa Sofia Elam, TLLP's National Provider Identifier is 1497373930, issued on Jul 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 10, 2020.