Healthcare Provider Details

I. General information

NPI: 1912504002
Provider Name (Legal Business Name): BEING CENTERED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 KENMOOR AVE SE STE 301
GRAND RAPIDS MI
49546-2395
US

IV. Provider business mailing address

PO BOX 45
LOWELL MI
49331-0045
US

V. Phone/Fax

Practice location:
  • Phone: 616-319-1255
  • Fax:
Mailing address:
  • Phone: 616-319-1255
  • 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: AMY KERIN CREAGH
Title or Position: MENTAL HEALTH THERAPIST, OWNER
Credential: MA LPC MLP
Phone: 616-319-1255