Healthcare Provider Details

I. General information

NPI: 1942141783
Provider Name (Legal Business Name): TRENTHAM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 FULTON ST E STE 2
GRAND RAPIDS MI
49503-3562
US

IV. Provider business mailing address

1039 MERRIFIELD ST SE
GRAND RAPIDS MI
49507-3339
US

V. Phone/Fax

Practice location:
  • Phone: 616-256-0659
  • Fax:
Mailing address:
  • Phone: 616-256-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LESLIE TRENTHAM
Title or Position: OWNER
Credential: LMSW
Phone: 616-256-0659