Provider Demographics
NPI:1154779478
Name:BATES, AUBRI ELISE (MSW)
Entity type:Individual
Prefix:MRS
First Name:AUBRI
Middle Name:ELISE
Last Name:BATES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:AUBRI
Other - Middle Name:ELISE
Other - Last Name:KUIPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4255 KALAMAZOO AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508
Mailing Address - Country:US
Mailing Address - Phone:616-466-5222
Mailing Address - Fax:
Practice Address - Street 1:4255 KALAMAZOO AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508
Practice Address - Country:US
Practice Address - Phone:616-466-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical