Healthcare Provider Details

I. General information

NPI: 1134747132
Provider Name (Legal Business Name): CONNECTIONS COUNSELING & EDUCATION PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8650 BYRON CENTER AVE SW STE U5
BYRON CENTER MI
49315-9588
US

IV. Provider business mailing address

8650 BYRON CENTER AVE SW STE 20
BYRON CENTER MI
49315-9589
US

V. Phone/Fax

Practice location:
  • Phone: 616-426-6829
  • Fax:
Mailing address:
  • Phone: 616-426-6829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AUDREY HILLIKER
Title or Position: PROVIDER
Credential: LPC, LMFT
Phone: 616-426-6829