Search › Michigan › 101YP2500X
Shanita Theil, MA LPC
NPI 1255732921 · on the registry since 2014
Practice
- Address
- 4211 Parkway Place Dr Sw
Grandville, MI 49418 - Phone
- (616) 222-3700
- Organisation at this address
- Grand River Endodontics Pc
Pine Rest Christian Mental Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 300 68th St Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan