Provider Demographics
NPI:1437677523
Name:AN ALLY WHO CARES LLC
Entity Type:Organization
Organization Name:AN ALLY WHO CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:616-634-9091
Mailing Address - Street 1:6608 BURGER DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7212
Mailing Address - Country:US
Mailing Address - Phone:616-634-9091
Mailing Address - Fax:
Practice Address - Street 1:6608 BURGER DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7212
Practice Address - Country:US
Practice Address - Phone:616-634-9091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty