Provider Demographics
NPI:1083007801
Name:ARIRIGUZO, CHINYERE (LMSW; IMH-E)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:
Last Name:ARIRIGUZO
Suffix:
Gender:F
Credentials:LMSW; IMH-E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 29TH ST SE STE B8A
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-1565
Mailing Address - Country:US
Mailing Address - Phone:616-227-0438
Mailing Address - Fax:
Practice Address - Street 1:2215 29TH ST SE STE B8A
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-1565
Practice Address - Country:US
Practice Address - Phone:616-227-0438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011077791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical