Provider Demographics
NPI:1720735160
Name:GALAT COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:GALAT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIMITED LICENSED PHYCOLOGIST/OWN
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAT
Authorized Official - Suffix:
Authorized Official - Credentials:MALLP
Authorized Official - Phone:616-298-9867
Mailing Address - Street 1:214 FOUNTAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3242
Mailing Address - Country:US
Mailing Address - Phone:616-298-9867
Mailing Address - Fax:
Practice Address - Street 1:214 FOUNTAIN ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3242
Practice Address - Country:US
Practice Address - Phone:616-298-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GALAT COUNSELING SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health