ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC NPI 1447356050

NPI Information

NPI: 1447356050
Provider Name: ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC

Doing Business As: ACAC, INC

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 23D2075450

Address:
3940 PENINSULAR DR SE STE 240
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-5850
Get Directions

ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC is an addiction (substance use disorder) counselor in Grand Rapids, MI. ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC NPI is 1447356050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Acac, Inc.

The provider's business location address is:

3940 PENINSULAR DR SE STE 240
GRAND RAPIDS, MI
ZIP 49546-443
Phone: (616) 957-5850
Fax: (616) 957-5853

The provider's authorized official is Joe Whalen .
The authorized official title is Ceo and has the following contact phone number (231) 740-9566.

The CLIA number assigned to this NPI record is 23D2075450 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 11/30/2021.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	410049	MICHIGAN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health	SA0410049	MICHIGAN	No
4	101YM0800X	Counselor	Mental Health	SA0610039	MICHIGAN	No
5	101YP2500X	Counselor	Professional	SA0410049	MICHIGAN	No
6	101YP2500X	Counselor	Professional	SA0610039	MICHIGAN	No
7	101YA0400X	Counselor	Addiction (Substance Use Disorder)	610039	MICHIGAN	Yes

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
1	1447356050	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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