Healthcare Provider Details

I. General information

NPI: 1386658607
Provider Name (Legal Business Name): PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 FULTON ST
GRAND HAVEN MI
49417-1231
US

IV. Provider business mailing address

321 FULTON ST
GRAND HAVEN MI
49417-1231
US

V. Phone/Fax

Practice location:
  • Phone: 616-842-4772
  • Fax: 616-842-5575
Mailing address:
  • Phone: 616-842-4772
  • Fax: 616-842-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301006864
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HILLARI MADISON
Title or Position: CO-OWNER
Credential: LLP
Phone: 616-842-4772