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139 Education, LLC — NPI 1114290517, Grand Rapids, MI | NPI Central

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NPI 1114290517

OrganizationActive

139 Education, LLC

NPI 1114290517 · Psychologist · Grand Rapids, MI

Provider details

NPI number: 1114290517
Entity type: Organization
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Authorized official: Timothy Royer, Owner
License: 6301009353 (MI)

Practice location

1971 E Beltline Ave Ne

Suite 212

Grand Rapids, MI 49525-7045

Phone: (800) 600-4096

More MI providers

Mailing address

3790 30th St Sw

Grandville, MI 49418-1602

Registry dates

Enumerated: 2012-02-15
Last updated: 2012-02-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.