Healthcare Provider Details

I. General information

NPI: 1013710664
Provider Name (Legal Business Name): RED BRICK COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2025
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 DICKINSON ST SE
GRAND RAPIDS MI
49507-2203
US

IV. Provider business mailing address

1971 E BELTLINE AVE NE STE 106 #1404
GRAND RAPIDS MI
49525
US

V. Phone/Fax

Practice location:
  • Phone: 616-219-0373
  • Fax:
Mailing address:
  • Phone: 616-219-0373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE STRAUS
Title or Position: FOUNDER
Credential: LMSW
Phone: 616-219-0373