Healthcare Provider Details

I. General information

NPI: 1285462408
Provider Name (Legal Business Name): TOIVOA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 BRIDGE ST
ELK RAPIDS MI
49629-5111
US

IV. Provider business mailing address

6984 CRAM RD
WILLIAMSBURG MI
49690-9784
US

V. Phone/Fax

Practice location:
  • Phone: 734-780-1551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: BETHANY KAISER
Title or Position: OWNER
Credential: LMSW
Phone: 734-780-1551