Provider Demographics
NPI:1922547017
Name:BEEZHOLD, SAVANNAH MARIE
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:MARIE
Last Name:BEEZHOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SAVANNAH
Other - Middle Name:MARIE
Other - Last Name:VAN DINTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3315 CENTENNIAL RIDGE APT 202
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-558-5926
Mailing Address - Fax:
Practice Address - Street 1:1724 SHERWOOD DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-5039
Practice Address - Country:US
Practice Address - Phone:616-558-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor