Healthcare Provider Details

I. General information

NPI: 1790606481
Provider Name (Legal Business Name): NARROW ROAD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 1ST AVE
FRUITPORT MI
49415-9645
US

IV. Provider business mailing address

375 1ST AVE
FRUITPORT MI
49415-9645
US

V. Phone/Fax

Practice location:
  • Phone: 231-670-4228
  • Fax:
Mailing address:
  • Phone: 231-670-4228
  • 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: MR. BRENDEN ARIAS TUDOR
Title or Position: PROFESSIONAL COUNSELOR
Credential: LLC
Phone: 231-670-4228