Beth Mellema Counseling LLC – Mental Health Counselor

Key facts

NPI: 1396353090
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: BETH MELLEMA COUNSELING LLC
Practice address: 1550 E Beltline Ave SE Ste 255
Grand Rapids, MI 49506-4362
Phone: (616) 947-4440
NPI assigned: Jul 19, 2020
Organization subpart: No

Authorized official

Name: Elizabeth Gardner, LMSW NPI 1790095834
Title: Owner
Phone: (616) 240-6668

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Elizabeth Gardner, LMSW Mental Health Counselor · Grand Rapids, MI · NPI 1790095834

NPD Authorized official MENTAL HEALTH
Kathleen Marie Weller, LCPC Professional Counselor · Grand Rapids, MI · NPI 1073665311

NPD (past) MENTAL HEALTH

National Provider Directory

Locations

1550 E Beltline Ave SE
Ste 255
Grand Rapids, MI 49506
Phone (616) 747-0700

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

1550 E Beltline Ave SE Ste 255
Grand Rapids, MI 49506-4362

Mailing address

2181 Engleside Dr SE
Grand Rapids, MI 49546-6224
Phone (616) 240-6668

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Mental Health Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.