Healthcare Provider Details

I. General information

NPI: 1285299032
Provider Name (Legal Business Name): UNITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 E BELTLINE AVE NE STE 202
GRAND RAPIDS MI
49525-6869
US

IV. Provider business mailing address

3351 EAGLE RUN DR NE STE A
GRAND RAPIDS MI
49525-7070
US

V. Phone/Fax

Practice location:
  • Phone: 616-439-1866
  • Fax: 616-226-4603
Mailing address:
  • Phone: 616-439-1866
  • Fax: 616-226-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BREN SHANTZ
Title or Position: OWNER
Credential:
Phone: 616-526-8504