139 Education, Llc.

  • 1013294628 NPI Number
  • |
  • Actived: 7 years ago
  • |
According to our database, NPI number for 139 Education, Llc. is 1013294628 and actived since Thursday, November 10 2011. 139 Education, Llc. is an Organization provider specializes in Psychologist. Provider information was last updated on 02/21/2017.

Overview of 139 Education, Llc.

  • NPI number: 1013294628
  • Provider type: Organization
  • Specialty: Psychologist
  • Active since: 11/10/2011
  • Last updated: 02/21/2017

Provider Mailing Address

  • Address: 201 Monroe Ave Nw
    Suite 300
    Grand Rapids, MI 49503
  • Phone: 800-600-4096
  • Fax: 800-606-8839

Provider Practice Location

  • Address: 3148 44th St Sw
    Grandville, MI 49418
  • Phone: 800-600-4096
  • Fax: 800-606-8839

Authorized Official

  • Name: Timothy Royer PSY
  • Position/Title: Provider/authorized Official
  • Telephone Number: 800-600-4096

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 6301009353
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0D14689
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BLUE CROSS BLUE SHIELD OF MICHIGAN

Question & Answers

What is the npi number?

  • Q: What is the npi number for 139 Education, Llc.?
  • A: The npi number for 139 Education, Llc. is 1013294628.
  • Q: What are 139 Education, Llc.'s specialties?
  • A: 139 Education, Llc.'s specialties are Psychologist and different specialities.
  • Q: Where is 139 Education, Llc. business practice location?
  • A: 139 Education, Llc. business practice location is 3148 44th St Sw, Grandville, MI 49418.
  • Q: How to contact 139 Education, Llc.?
  • A: You can contact 139 Education, Llc. via 800-600-4096.
  • Q: What is the authorized official for 139 Education, Llc.?
  • A: The authorized office name is Timothy Royer PSY with position/title is Provider/authorized Official and you can reach the authorized official via phone number 8006004096.

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