Healthcare Provider Details

I. General information

NPI: 1184494833
Provider Name (Legal Business Name): MATTHEW STOEL COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 02/17/2024
Certification Date: 02/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HALL ST SW # 185B
GRAND RAPIDS MI
49503-5098
US

IV. Provider business mailing address

2760 GAY PAREE DR
ZEELAND MI
49464-9122
US

V. Phone/Fax

Practice location:
  • Phone: 616-405-7918
  • Fax:
Mailing address:
  • Phone: 616-405-7918
  • 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: MATTHEW ALLEN STOEL
Title or Position: OWNER
Credential: LMSW
Phone: 616-405-7918