| Doctor Name: | MR. MICHAEL SCOTT CHRISTY |
| NPI Number: | 1104044684 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 721 N Center Dr Nw Walker, MI - 495448215 |
| Business Phone Number: | 6166472590 |
| Business Fax Number: | 6163518249 |
| Mailing Address: | 3800 Fuller Ave Ne, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495252251 |
| Phone Number: | 6164478271 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |