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Contact Information

EMMA MOYNIHAN
4867 E BELTLINE AVE NE
BUILDING 1, STE 400
GRAND RAPIDS, MI49525
 Phone: 616-202-2253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for EMMA MOYNIHAN · (Female)

NPI Number 1104701119
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2025
Last updated 08/08/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 6451024466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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