Healthcare Provider Details

I. General information

NPI: 1992672760
Provider Name (Legal Business Name): ALANA CHEYANNE HAGUE LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 TROWBRIDGE ST NE APT 208
GRAND RAPIDS MI
49503-1891
US

IV. Provider business mailing address

8148 LAND O LAKES DR
KALAMAZOO MI
49048-9316
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-9295
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6851120714
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: