Provider Demographics
NPI:1205564531
Name:STANGE CLINIC, PC
Entity type:Organization
Organization Name:STANGE CLINIC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:616-916-6680
Mailing Address - Street 1:7150 ARMADALE CT NE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49306-9690
Mailing Address - Country:US
Mailing Address - Phone:586-764-6671
Mailing Address - Fax:
Practice Address - Street 1:2305 E PARIS AVE SE STE 203
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2426
Practice Address - Country:US
Practice Address - Phone:616-816-1758
Practice Address - Fax:616-333-7685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-14
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty