Healthcare Provider Details

I. General information

NPI: 1235738774
Provider Name (Legal Business Name): HUFFMAN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2020
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 DIVISION AVE S
GRAND RAPIDS MI
49503-5112
US

IV. Provider business mailing address

PO BOX 34
JENISON MI
49429-0034
US

V. Phone/Fax

Practice location:
  • Phone: 616-828-9388
  • Fax:
Mailing address:
  • Phone: 616-828-9388
  • 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: MRS. OLIVIA PUENTE HUFFMAN
Title or Position: OWNER/THERAPIST
Credential: LMSW
Phone: 616-209-8229