DR. PHD Charles William Bethea, NPI 1396812525
Professional Counselor in Traverse City, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1396812525
NPI Entity Type Individual
Provider Name DR. PHD Charles William Bethea
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1050 Silver Dr, Traverse City, MI, US
Provider Mailing Address 300 68th St Se, Grand Rapids, MI, US, 495486927
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

101YP2500X

Taxonomy Name Professional Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

License No. 6401001279
License State MI
Description Definition to come...

Business Address

DR. PHD Charles William Bethea
1050 Silver Dr

Traverse City, MI, US

Phone: 231-947-2255
Fax: 231-947-5982

Mailing Address

DR. PHD Charles William Bethea
300 68th St Se
Grand Rapids, MI, US
ZIP 495486927
Phone: 616-455-5000
Fax: 616-281-6459

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1041C0700X

Behavioral Health & Social Service Providers

Social Worker

6801010401 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
6401001279 MI PROFESSIONAL COUNSELOR LI 01
6801010401 MI MASTER SOCIAL WORKER LICE 01

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