Lisa Bouma in Grandville - Marriage & Family Therapist
Lisa Bouma - NPI 1265408017
Lisa Bouma is a Marriage & Family Therapist in Grandville, Michigan. Lisa Bouma practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Lisa Bouma is 1265408017. The last update date is 2010-01-06.
Lisa Bouma's current location address is 4320 44th St Sw, Grandville, Michigan. You can contact this provider via phone number 6168900883. The mailing address for Lisa Bouma is 4320 44th St Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Bouma |
|---|---|
| Address | 4320 44th St Sw, Grandville, Michigan |
| Phone Number | 6168900883 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA LMFT |
NPI Number Detail
| NPI Number | 1265408017 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 4320 44th St Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494182300 |
| Phone Number | 6168900883 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 4101006210 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Lisa Bouma by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Bouma has been assigned the NPI (National Provider Identifier) 1265408017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lisa Bouma?
The Lisa Bouma is situated at 4320 44Th St Sw, in the city of Grandville, state of MI, with the zip code 494182300.
What is the area of specialization for Lisa Bouma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Bouma is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265408017 to Lisa Bouma?
The Lisa Bouma received its 1265408017 assignment from the Centers for Medicare & Medicaid Services on 2006-02-23.
When was the information regarding Lisa Bouma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Bouma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-06.