Healthcare Provider Details

I. General information

NPI: 1437009503
Provider Name (Legal Business Name): CENTERED COUNSELING & COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 RAYMOND AVE SE
GRAND RAPIDS MI
49507-3930
US

IV. Provider business mailing address

2610 RAYMOND AVE SE
GRAND RAPIDS MI
49507-3930
US

V. Phone/Fax

Practice location:
  • Phone: 313-570-3355
  • Fax: 517-323-9531
Mailing address:
  • Phone: 313-570-3355
  • Fax: 517-323-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: CATHRYN GALLEGOS
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 517-483-2461