Healthcare Provider Details

I. General information

NPI: 1437025632
Provider Name (Legal Business Name): BORMAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3422 BURTON RIDGE RD SE APT D
GRAND RAPIDS MI
49546-5828
US

IV. Provider business mailing address

3422 BURTON RIDGE RD SE APT D
GRAND RAPIDS MI
49546-5828
US

V. Phone/Fax

Practice location:
  • Phone: 231-571-8877
  • Fax:
Mailing address:
  • Phone: 231-571-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HANNAH JOY BORMAN
Title or Position: COUNSELOR, OWNER
Credential: MA, LPC
Phone: 231-571-8877