Provider Demographics
NPI:1659174670
Name:GRAD, RAMONA IOANA (PHD, LPC)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:IOANA
Last Name:GRAD
Suffix:
Gender:
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 E 8TH ST STE 246
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3751
Mailing Address - Country:US
Mailing Address - Phone:616-827-7807
Mailing Address - Fax:616-828-0293
Practice Address - Street 1:27 W 25TH ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4910
Practice Address - Country:US
Practice Address - Phone:616-827-7807
Practice Address - Fax:616-828-0293
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC95909103TC1900X
GALPC011263103TC1900X
MI6401225055103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling