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CORE COUNSELING CENTER LLC NPI 1205320561


NPI Information

NPI: 1205320561
Provider Name: CORE COUNSELING CENTER LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1345 MONROE AVE NW STE 234
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 420-1060
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CORE COUNSELING CENTER LLC is a professional counselor in Grand Rapids, MI. CORE COUNSELING CENTER LLC NPI is 1205320561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1345 MONROE AVE NW STE 234
GRAND RAPIDS, MI
ZIP 49505-692
Phone: (616) 420-1060

The provider's authorized official is Tierra Youngblood-field .
The authorized official title is Professional Counselor and has the following contact phone number (616) 420-1060.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 12/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalYes
3261Q00000XClinic/CenterNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11205320561MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.