Provider First Line Business Practice Location Address:
C/O HEART WALK COUNSELING
Provider Second Line Business Practice Location Address:
5242 PLAINFIELD AVENUE NE - SUITE F
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-602-2014
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/06/2026