MEDICARE: COME HOME COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1104750975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COME HOME COUNSELING PLLC

Provider Business Mailing Address
First Line	:	4076 SUMMIT VIEW DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1908
Country	:	US
Telephone Number	:	419-366-4787
Fax Number	:

Provider Business Practice Location Address
First Line	:	4076 SUMMIT VIEW DR NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-1908
Country	:	US
Telephone Number	:	419-366-4787
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	BRIENNE HEIM
Credential	:
Telephone Number	:	419-366-4787

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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