CORE COUNSELING CENTER LLC NPI 1205320561

NPI Information

  • NPI: 1205320561
  • Provider Name: CORE COUNSELING CENTER LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1345 MONROE AVE NW STE 234
    GRAND RAPIDS, MI
    ZIP 49505
  • Phone: (616) 420-1060

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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