Healthcare Provider Details

I. General information

NPI: 1497557789
Provider Name (Legal Business Name): STATUS CHECK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15290 ANN DR
BATH MI
48808-9792
US

IV. Provider business mailing address

15290 ANN DR
BATH MI
48808-9792
US

V. Phone/Fax

Practice location:
  • Phone: 616-920-0924
  • Fax: 616-920-1393
Mailing address:
  • Phone: 616-920-0924
  • Fax: 616-920-1393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TRINDA MARTIN
Title or Position: OWNER
Credential: LPC
Phone: 616-920-0924