GRAND RAPIDS COUNSELING SERVICES NPI 1629597166

NPI Information

NPI: 1629597166
Provider Name: GRAND RAPIDS COUNSELING SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 23D2049000

Address:
2400 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507
Phone: (616) 988-3433
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GRAND RAPIDS COUNSELING SERVICES is a professional counselor in Grand Rapids, MI. GRAND RAPIDS COUNSELING SERVICES NPI is 1629597166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507-632
Phone: (616) 988-3433

The provider's authorized official is Sean Alexander Robinson .
The authorized official title is Owner and has the following contact phone number (616) 988-3433.

The CLIA number assigned to this NPI record is 23D2049000 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2017 and was last updated on 10/12/2017.

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)	6401009578	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401009578	MICHIGAN	Yes

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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