Larson, Amanda
Larson, Amanda is an sole proprietor health care provider with primary practice located at 1514 Wealthy St Se Ste 256 , Grand Rapids MI 49506-2755. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Larson, Amanda can be contacted via phone (616) 780-1284.Contact Information
Primary practice address
1514 Wealthy St Se Ste 256
Grand Rapids MI 49506-2755
Phone: (616) 780-1284
Fax: (616) 427-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301015820 | Michigan |
Profile Details
| NPI number | 1609292713 |
|---|---|
| LBN Legal business name | Larson, Amanda |
| Credentials | M.A., MLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2014 |
| Last updated | Dec 28th, 2022 - about 3 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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