WISHING WELL, INC. (NPI# 1831330935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831330935 |
| Entity Type | Organization |
| Organization Name | WISHING WELL, INC. |
| Other Organization Name | DETOX FOR HEALTHY LIVING |
| Practice Address |
1721 Rodney Cr. N.e. Grand Rapids MI 49505 |
| Practice Telephone | 6163639113 |
| Mailing Telephone | 6163639113 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | MRS. MARILYN V. HEERINGA (HEALTH SERVICE PROVIDER) |
| Authorized Official Telephone | 6163639113 |
| Is Organization Subpart | Y |
| Parent Organization Name | WISHING WELL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Detox For Healthy Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WISHING WELL, INC. | 667 South St., Wrentham, MA 02093 |
| Street Address |
1721 RODNEY CR. N.E. |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653403 | Gaynel Nave | Naturopath | 834 Lake Dr Se, Grand Rapids, MI 49506-1479 | 2019-05-08 |
| 1336698281 | Christine Schoenek | Naturopath | 638 Fulton St W Ste B, Grand Rapids, MI 49504-6313 | 2016-10-03 |
| 1235413758 | Kelly Suzanne Peterson | Naturopath | 638 Fulton St W Suite B, Grand Rapids, MI 49504 | 2011-10-03 |
| 1154955821 | Jennifer M Buchner | Naturopath | 638 Fulton St W Ste B, Grand Rapids, MI 49504-5312 | 2020-03-02 |
| 1699242750 | Carrie Tenelle Dennie | Naturopath | 638 Fulton St W, Grand Rapids, MI 49504-6313 | 2018-10-26 |
| 1073012324 | Shannon Colleen Bennett | Naturopath | 781 Kenmoor Ave Se Ste C, Grand Rapids, MI 49546-8624 | 2018-02-01 |
| 1831624626 | Catrice Morning Bird Thornton | Naturopath | 2050 Breton Rd Se, Suite 109, Grand Rapids, MI 49546-5572 | 2017-04-29 |
| 1952852352 | Jennifer Kurinsky | Naturopath | 638 Fulton St W, Suite B, Grand Rapids, MI 49504-6313 | 2016-10-20 |
| 1457660987 | Yolanda Rita Cordele | Naturopath | 6883 Cascade Rd Se, Grand Rapids, MI 49546-6899 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791304 | Amanda Marie Blandford | Naturopath | 4655 14 Mile Rd Ne Ste B, Rockford, MI 49341-7308 | 2020-05-15 |
| 1124650643 | Anthony Martinez Beven | Naturopath | 3755 S Baldwin Rd, Lake Orion, MI 48359-1507 | 2020-02-12 |
| 1295377695 | Elijah Silver | Naturopath | 23650 Woodward Ave Ste 104, Pleasant Ridge, MI 48069-1141 | 2019-10-17 |
| 1760958599 | Mariah Dawn Wilson | Naturopath | 3180 Racquet Club Dr Ste B, Traverse City, MI 49684-4797 | 2018-10-19 |
| 1639523988 | Faye Weber | Naturopath | 6613 Lansing Ave, Jackson, MI 49201-7503 | 2016-04-22 |
| 1083098446 | Annalisa Behling | Naturopath | 6007 Miller Rd, Suite 12, Swartz Creek, MI 48473-1901 | 2015-07-16 |
| 1902298334 | Shelson Natural Health LLC. | Naturopath | 21 N Almer St, Caro, MI 48723-1547 | 2015-02-23 |
| 1184047474 | Theresa Debelak | Naturopath | 5062 E S Ave, Vicksburg, MI 49097-8473 | 2014-01-23 |
| 1528319225 | Center for Optimal Health and Wellness, Plc | Naturopath | 2900 Orchard Lake Rd, Suite 2, Keego Harbor, MI 48320-1472 | 2012-09-21 |
| 1104175207 | A Life Aware Yoga and Wellness | Naturopath | 18245 Cherrylawn, Detrot, MI 48221-2013 | 2012-09-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
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| 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.