Healthcare Provider Details

I. General information

NPI: 1063373967
Provider Name (Legal Business Name): ESSENTIA COUNSELING AND CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 3 MILE RD NW STE 1
GRAND RAPIDS MI
49544-8220
US

IV. Provider business mailing address

700 3 MILE RD NW STE 1
GRAND RAPIDS MI
49544-8220
US

V. Phone/Fax

Practice location:
  • Phone: 616-226-3952
  • Fax:
Mailing address:
  • Phone: 616-226-3952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA STIEG
Title or Position: OWNER
Credential: LPC
Phone: 616-226-3952