Healthcare Provider Details

I. General information

NPI: 1801482971
Provider Name (Legal Business Name): CHERYL AHRENS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS MI
49525-2087
US

IV. Provider business mailing address

5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS MI
49525-2087
US

V. Phone/Fax

Practice location:
  • Phone: 616-279-3869
  • Fax:
Mailing address:
  • Phone: 616-279-3869
  • 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. CHERYL AHRENS
Title or Position: SOCIAL WORKER
Credential: LMSW
Phone: 616-464-5973