Provider Demographics
NPI:1285861328
Name:RATIONAL TRAINING CONSULTANTS
Entity Type:Organization
Organization Name:RATIONAL TRAINING CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:
Authorized Official - Last Name:POAG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:616-975-0139
Mailing Address - Street 1:2525 E PARIS AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:616-957-3124
Practice Address - Street 1:2525 E PARIS AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6191
Practice Address - Country:US
Practice Address - Phone:616-975-0139
Practice Address - Fax:616-957-3124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010126031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty