Healthcare Provider Details

I. General information

NPI: 1376103036
Provider Name (Legal Business Name): COVILLE COUNSELING AND ASSESSMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2019
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 PARCHMENT DR SE STE 205
GRAND RAPIDS MI
49546-2307
US

IV. Provider business mailing address

826 PARCHMENT DR SE STE 205
GRAND RAPIDS MI
49546-2307
US

V. Phone/Fax

Practice location:
  • Phone: 616-893-0983
  • Fax: 616-930-4669
Mailing address:
  • Phone: 616-893-0983
  • Fax: 616-930-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SARAH COVILLE
Title or Position: PSYCHOLOGIST
Credential: MA LLP
Phone: 616-893-0983