Provider Demographics
NPI:1689171365
Name:MENIER, LA QUINN (CCM)
Entity Type:Individual
Prefix:MRS
First Name:LA QUINN
Middle Name:
Last Name:MENIER
Suffix:
Gender:F
Credentials:CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 OAK INDUSTRIAL DR NE STE 113
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-6037
Mailing Address - Country:US
Mailing Address - Phone:616-920-0539
Mailing Address - Fax:
Practice Address - Street 1:2215 OAK INDUSTRIAL DR NE STE 113
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-6037
Practice Address - Country:US
Practice Address - Phone:616-920-0539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management