| Grand Rapids Counseling Services | |
|
2400 Eastern Ave Se Grand Rapids MI 49507-3632 | |
| (616) 988-3433 | |
| Not Available |
| Full Name | Grand Rapids Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 2400 Eastern Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sean Alexander Robinson (OWNER / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6169883433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Rapids Counseling Services 2400 Eastern Ave Se Grand Rapids MI 49507-3632 Ph: (616) 988-3433 | Grand Rapids Counseling Services 2400 Eastern Ave Se Grand Rapids MI 49507-3632 Ph: (616) 988-3433 |
| NPI Number | 1629597166 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 0547794000 |
|---|---|
| Medicare Enrollment ID | O20241107000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629597166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401009578 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401009578 (Michigan) | Primary |
| Provider Name | Sean A Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477762367 PECOS PAC ID: 1456885912 Enrollment ID: I20241107000443 |
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