Provider Demographics
NPI:1225214992
Name:GRIEF MATTERS, L.L.C.
Entity Type:Organization
Organization Name:GRIEF MATTERS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RNC, MA, FT, LPC
Authorized Official - Phone:517-789-7227
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49204-0576
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1214 COOPER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2496
Practice Address - Country:US
Practice Address - Phone:517-789-7227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-12
Last Update Date:2008-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty