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: | A |
Authorized Official - Last Name: | GALAT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MALLP |
Authorized Official - Phone: | 616-298-9867 |
Mailing Address - Street 1: | 2020 RAYBROOK ST SE STE 308 |
Mailing Address - Street 2: | |
Mailing Address - City: | GRAND RAPIDS |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 49546-7717 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 616-649-1010 |
Mailing Address - Fax: | 616-551-2895 |
Practice Address - Street 1: | 2020 RAYBROOK ST SE STE 308 |
Practice Address - Street 2: | |
Practice Address - City: | GRAND RAPIDS |
Practice Address - State: | MI |
Practice Address - Zip Code: | 49546-7717 |
Practice Address - Country: | US |
Practice Address - Phone: | 616-649-1010 |
Practice Address - Fax: | 616-551-2895 |
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: | 2025-03-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health |