Healthcare Provider Details

I. General information

NPI: 1699459172
Provider Name (Legal Business Name): PEAK COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PEARL ST NW STE 341
GRAND RAPIDS MI
49503-3026
US

IV. Provider business mailing address

40 PEARL ST NW STE 341
GRAND RAPIDS MI
49503-3026
US

V. Phone/Fax

Practice location:
  • Phone: 708-420-4989
  • Fax:
Mailing address:
  • Phone:
  • 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: REBECCA MCDANIEL
Title or Position: OWNER
Credential: LMSW
Phone: 708-420-4989