SARA D VILLEGAS TLLP
NPI 1497096077
Counselor - Mental Health in Grand Rapids, MI
Active since March 07, 2013
About Sara D Villegas Tllp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA D VILLEGAS TLLP (NPI 1497096077) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6301015421) and active in the NPI registry since March 2013.
NPPES Registry Identity
NPI1497096077
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA D VILLEGASCredential: TLLP
Location Address1101 BALL AVE NEGrand Rapids, MI 49505-5904
Mailing Address4601 Ridgeway Ln, Apt GKalamazoo, MI 49006-6250 · (269) 849-6757
Phone(616) 459-7215
Sole ProprietorNo
Enumeration DateMarch 7, 2013
✔ NPI 1497096077 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6301015421
1101 BALL AVE NE, Grand Rapids, MI 49505
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497096077, enumerated as an "individual" on March 07, 2013.
The provider is located at 1101 BALL AVE NE GRAND RAPIDS, MI 49505 and the phone number is (616) 459-7215.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.