TERESA SOFIA ELAM


Address: 901 Eastern Ave Ne, Grand Rapids, MI 49503
Phone: 6162563174

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6362002072 MI Behavioral Health & Social Service Providers

Other Providers TERESA ELAM

NPI Name Taxonomy Address Enumeration
1477950160 Teresa Elam Registered Nurse 1879 Deerfield Rd, Lebanon, OH 45036-8602 2014-11-25

Office Location

Street Address 901 EASTERN AVE NE
City GRAND RAPIDS
State MI
Zip Code 49503

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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