MEDICARE: TOGETHER-WITH THERAPY, 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	:	1982405676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOGETHER-WITH THERAPY, LLC

Provider Business Mailing Address
First Line	:	1001 MEDICAL PARK DR SE STE 200
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3681
Country	:	US
Telephone Number	:	616-259-0132
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 MEDICAL PARK DR SE STE 200
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3681
Country	:	US
Telephone Number	:	616-259-0132
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. NICHOLAS BURNER
Credential	:	LPC
Telephone Number	:	616-259-0132

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	08/15/2025

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Directions to “TOGETHER-WITH THERAPY, LLC ” Practice Location

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