Maxwell, Breeyn Nicole
Maxwell, Breeyn Nicole is an individual health care provider with primary practice located at 1971 E Beltline Ave Ne Ste 106 , Grand Rapids MI 49525-7045. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Maxwell, Breeyn Nicole can be contacted via phone (616) 666-6904.Contact Information
Primary practice address
1971 E Beltline Ave Ne Ste 106
Grand Rapids MI 49525-7045
Phone: (616) 666-6904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6301015970 | Michigan |
Profile Details
| NPI number | 1558747055 |
|---|---|
| LBN Legal business name | Maxwell, Breeyn Nicole |
| Credentials | MA, LPC, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2015 |
| Last updated | Mar 19th, 2024 - about 2 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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