Provider Demographics
NPI:1508589094
Name:RICHARD A MAIER LPC LLC
Entity Type:Organization
Organization Name:RICHARD A MAIER LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-885-8010
Mailing Address - Street 1:4451 BILLMAR ST SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2203
Mailing Address - Country:US
Mailing Address - Phone:168-858-8010
Mailing Address - Fax:
Practice Address - Street 1:3181 PRAIRIE ST SW STE 112
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2076
Practice Address - Country:US
Practice Address - Phone:616-209-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty