Healthcare Provider Details

I. General information

NPI: 1508613845
Provider Name (Legal Business Name): SUNSHINE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HALL ST SW
GRAND RAPIDS MI
49503-5098
US

IV. Provider business mailing address

69 ROGUE RIVER VIEW DR NE
ROCKFORD MI
49341-8244
US

V. Phone/Fax

Practice location:
  • Phone: 616-500-3304
  • Fax:
Mailing address:
  • Phone: 231-652-0122
  • 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: STEPHANIE BARRETTE
Title or Position: OWNER/THERAPIST
Credential: LMSW
Phone: 231-652-0122