Healthcare Provider Details

I. General information

NPI: 1598551608
Provider Name (Legal Business Name): ADELANTE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 LEONARD ST NE
GRAND RAPIDS MI
49505-5513
US

IV. Provider business mailing address

1302 LEONARD ST NE
GRAND RAPIDS MI
49505-5513
US

V. Phone/Fax

Practice location:
  • Phone: 616-808-9086
  • Fax:
Mailing address:
  • Phone: 616-808-9086
  • 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: MR. JOSUE RENATO GUILLEN
Title or Position: OWNER
Credential: LLMSW
Phone: 616-808-9086