Healthcare Provider Details

I. General information

NPI: 1235004136
Provider Name (Legal Business Name): JULIE A. SCHALK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 PLAINFIELD AVE NE
GRAND RAPIDS MI
49525-1229
US

IV. Provider business mailing address

4612 PLAINFIELD AVE NE
GRAND RAPIDS MI
49525-1229
US

V. Phone/Fax

Practice location:
  • Phone: 616-441-6040
  • Fax:
Mailing address:
  • Phone: 616-441-6040
  • 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: JULIE SCHALK
Title or Position: LPC, FOUNDER & OWNER
Credential: MA, LPC
Phone: 616-441-6040