Healthcare Provider Details

I. General information

NPI: 1457121147
Provider Name (Legal Business Name): KLEAR COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 ARDMORE ST SE # 202A
GRAND RAPIDS MI
49506-4901
US

IV. Provider business mailing address

2504 ARDMORE ST SE # 202A
GRAND RAPIDS MI
49506-4901
US

V. Phone/Fax

Practice location:
  • Phone: 586-201-5350
  • Fax:
Mailing address:
  • Phone: 586-201-5350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LOUISE KLEAR
Title or Position: OWNER
Credential: LPC
Phone: 586-201-5350