Bouma, Lisa
Bouma, Lisa is an sole proprietor health care provider with primary practice located at 4320 44Th St Sw Suite 103, Grandville MI 49418-2300. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bouma, Lisa can be contacted via phone (616) 890-0883.Contact Information
Primary practice address
4320 44Th St Sw Suite 103
Grandville MI 49418-2300
Phone: (616) 890-0883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4101006210 | Michigan |
Profile Details
| NPI number | 1265408017 |
|---|---|
| LBN Legal business name | Bouma, Lisa |
| Credentials | MA LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 6th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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