Kooi, William Blake

Kooi, William Blake is an sole proprietor health care provider with primary practice located at 534 Fountain St Ne , Grand Rapids MI 49503-3422. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Kooi, William Blake can be contacted via phone (616) 710-1504.

Contact Information

Primary practice address
534 Fountain St Ne Grand Rapids MI 49503-3422
Phone: (616) 710-1504
Fax: (616) 456-1324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401014874 Michigan

Profile Details

NPI number 1588901029
LBN Legal business name Kooi, William Blake
Credentials MA, LPC, QIDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2013
Last updated Aug 13th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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