Healthcare Provider Details

I. General information

NPI: 1063347045
Provider Name (Legal Business Name): KINDLE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 44TH ST SE STE 103
GRAND RAPIDS MI
49512-9081
US

IV. Provider business mailing address

2450 44TH ST SE STE 103
GRAND RAPIDS MI
49512-9081
US

V. Phone/Fax

Practice location:
  • Phone: 616-315-0251
  • Fax:
Mailing address:
  • Phone: 616-300-2768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALLISON BRINKMAM
Title or Position: MENTAL HEALTH DIRECTOR
Credential: LPC
Phone: 616-300-2768