Healthcare Provider Details

I. General information

NPI: 1083428783
Provider Name (Legal Business Name): LIVE YOUR JOY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 OLD 28TH ST SE STE 4
GRAND RAPIDS MI
49546-6932
US

IV. Provider business mailing address

6810 OLD 28TH ST SE STE 4
GRAND RAPIDS MI
49546-6932
US

V. Phone/Fax

Practice location:
  • Phone: 616-326-1728
  • Fax:
Mailing address:
  • Phone: 616-326-1728
  • 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: ERIN HESS-EISING
Title or Position: THERAPIST
Credential: LMSW
Phone: 616-326-1728