Healthcare Provider Details

I. General information

NPI: 1437727203
Provider Name (Legal Business Name): CLARICE KARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 3 MILE RD NW, SUITE 200
GRAND RAPIDS MI
49544-1691
US

IV. Provider business mailing address

1875 MCCANN RD
HASTINGS MI
49058-8274
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73365
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: