Healthcare Provider Details

I. General information

NPI: 1841825809
Provider Name (Legal Business Name): SAFECARE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 CELEBRATION DR NE STE 212
GRAND RAPIDS MI
49525-9200
US

IV. Provider business mailing address

10160 DUNCAN LAKE AVE SE
CALEDONIA MI
49316-9413
US

V. Phone/Fax

Practice location:
  • Phone: 616-260-3354
  • Fax:
Mailing address:
  • Phone: 616-260-3354
  • 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: MICHELLE L HUGHES
Title or Position: OWNER
Credential: LMSW
Phone: 616-260-3354