Healthcare Provider Details

I. General information

NPI: 1407514862
Provider Name (Legal Business Name): DAVID VANMEURS COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 FULTON ST E
GRAND RAPIDS MI
49503-3200
US

IV. Provider business mailing address

2121 W WYNDHAM HILL DR NE APT 302
GRAND RAPIDS MI
49505-6350
US

V. Phone/Fax

Practice location:
  • Phone: 616-260-9985
  • Fax:
Mailing address:
  • Phone: 616-260-9985
  • 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: DAVID VANMEURS
Title or Position: OWNER
Credential: LMSW
Phone: 616-260-9985