Core Counseling Center Llc
LBN: Core Counseling Center Llc
Core Counseling Center Llc is an health care organization with primary practice located at 1345 Monroe Ave Nw Ste 234 , Grand Rapids MI 49505-4692. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Clinic/Center. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Core Counseling Center Llc can be contacted via phone (616) 420-1060, or through Youngblood-Field, Tierra via phone (616) 420-1060.
Contact Information
Primary practice address
1345 Monroe Ave Nw Ste 234
Grand Rapids MI 49505-4692
Phone: (616) 420-1060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1205320561 |
|---|---|
| LBN Legal business name | Core Counseling Center Llc |
| DBA Doing business as | |
| Authorized official | Youngblood-Field, Tierra LPC, LLMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2018 |
| Last updated | Dec 31st, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205320561 | NPPES |
| Michigan | MEDICAID | 1205320561 |
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