Healthcare Provider Details

I. General information

NPI: 1104749563
Provider Name (Legal Business Name): HUNTER BENZING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 NORTHLAND DR NE STE A
GRAND RAPIDS MI
49525-1096
US

IV. Provider business mailing address

1551 PROVIDENCE COVE CT
BYRON CENTER MI
49315-9149
US

V. Phone/Fax

Practice location:
  • Phone: 616-361-5001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: