Provider Demographics
NPI:1972359842
Name:ANGELA CHESSER LLC
Entity type:Organization
Organization Name:ANGELA CHESSER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-944-7199
Mailing Address - Street 1:3056 BARRETT AVE SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1670
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 MONROE AVE NW STE 320
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-1451
Practice Address - Country:US
Practice Address - Phone:616-965-1173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty