Healthcare Provider Details

I. General information

NPI: 1982405676
Provider Name (Legal Business Name): TOGETHER-WITH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MEDICAL PARK DR SE STE 200
GRAND RAPIDS MI
49546-3681
US

IV. Provider business mailing address

1001 MEDICAL PARK DR SE STE 200
GRAND RAPIDS MI
49546-3681
US

V. Phone/Fax

Practice location:
  • Phone: 616-259-0132
  • Fax:
Mailing address:
  • Phone: 616-259-0132
  • 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: MR. NICHOLAS BURNER
Title or Position: OWNER
Credential: LPC
Phone: 616-259-0132