Healthcare Provider Details

I. General information

NPI: 1922833664
Provider Name (Legal Business Name): JOSHUA COLBY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6646 COLLEGE AVE SE
GRAND RAPIDS MI
49548-6948
US

IV. Provider business mailing address

6646 COLLEGE AVE SE
GRAND RAPIDS MI
49548-6948
US

V. Phone/Fax

Practice location:
  • Phone: 616-202-2806
  • Fax:
Mailing address:
  • Phone: 616-690-0755
  • 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 TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA MICHAEL COLBY
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 616-690-0755