Healthcare Provider Details

I. General information

NPI: 1568859940
Provider Name (Legal Business Name): DAVID MAAT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3283 122ND AVE
ALLEGAN MI
49010-9511
US

IV. Provider business mailing address

PO BOX 130
ALLEGAN MI
49010-0130
US

V. Phone/Fax

Practice location:
  • Phone: 269-673-3384
  • Fax: 269-686-4601
Mailing address:
  • Phone: 269-673-3384
  • Fax: 269-686-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: