Healthcare Provider Details

I. General information

NPI: 1881574945
Provider Name (Legal Business Name): JUSTICE PROJECT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 FULTON ST E STE 28
GRAND RAPIDS MI
49503-3262
US

IV. Provider business mailing address

233 FULTON ST E STE 28
GRAND RAPIDS MI
49503-3262
US

V. Phone/Fax

Practice location:
  • Phone: 616-432-2908
  • Fax:
Mailing address:
  • Phone: 616-432-2908
  • 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: JULIETTE TONIA TAYLOR
Title or Position: OWNER, OPERATOR
Credential: LPC, MFT
Phone: 616-648-4952