TERESA SOFIA ELAM (NPI# 1497373930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497373930 |
Entity Type | Individual |
Full Name | TERESA SOFIA ELAM |
Credential | TLLP |
Practice Address |
901 Eastern Ave Ne Grand Rapids MI 49503 |
Mailing Address |
3701 Heron Ave Sw Wyoming MI 49509 |
Practice Telephone | 6162563174 |
Practice Fax Number | 6168270762 |
Mailing Telephone | 6163040465 |
Mailing Fax Number | 6168270762 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6362002072 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477950160 | Teresa Elam | Registered Nurse | 1879 Deerfield Rd, Lebanon, OH 45036-8602 | 2014-11-25 |
Street Address |
901 EASTERN AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770649600 | George John Tyndall | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2006-12-28 |
1114555802 | Megan Griffen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-30 |
1134753940 | Jacinta Marie Glashower | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-02 |
1013557586 | Elise Margaret Meyer | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-01-13 |
1821655317 | Amanda Clapper | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-05-21 |
1134680408 | Frank Antonio Mcginnis | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-03-28 |
1730656471 | Yaineabeba D. Tadese | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-10-31 |
1174007512 | Christie Martin | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-09-21 |
1194227439 | Janice Heinlen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-03-02 |
1649791260 | Cameron Borg | Case Manager/Care Coordinator | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2017-07-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
Find all providers in zip 49503 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1528692779 | Tracy Norcross | Counselor | 2430 Camelot Ct Se, Grand Rapids, MI 49546-6001 | 2020-02-26 |
1487202743 | New Beginnings Counseling LLC | Counselor | 104 Ne 3rd St # 200h, Grand Rapids, MN 55744-2869 | 2019-08-29 |
1922652098 | Jason Powers | Counselor | 2033 43rd St Se Apt V8, Grand Rapids, MI 49508-8734 | 2019-07-28 |
1588225882 | Hope Restored Counseling Center LLC | Counselor | 2180 44th St Se Ste 302, Grand Rapids, MI 49508-5323 | 2019-06-26 |
1164089884 | Savanna Marie Vanderberg | Counselor | 1131 Worden St Se, Grand Rapids, MI 49507-1472 | 2019-05-29 |
1609432996 | Robb Kornoelje | Counselor | 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503-1891 | 2019-05-13 |
1316423841 | Lorie Tensen | Counselor | 456 College Ave Se Apt 1, Grand Rapids, MI 49503-5373 | 2018-07-18 |
1548750524 | Katelyn Cable Ma LLP | Counselor | 5001 Plainfield Ave Se, Suite B, Grand Rapids, MI 49525-9349 | 2018-05-15 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49503 |
Please comment or provide details below to improve the information on TERESA SOFIA ELAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.