MEDICARE: UNFOLDING PSYCHOTHERAPY LLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1427753615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNFOLDING PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	1558 LEXINGTON AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49441-3126
Country	:	US
Telephone Number	:	616-550-1743
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 3 MILE RD NW STE 1
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49544-8220
Country	:	US
Telephone Number	:	616-275-4585
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	REBECCA MAY
Credential	:	MA, LPC
Telephone Number	:	616-275-4585

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	04/10/2026

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