Healthcare Provider Details

I. General information

NPI: 1902366974
Provider Name (Legal Business Name): CARING WELL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 RAYBROOK ST SE STE 103
GRAND RAPIDS MI
49546-7718
US

IV. Provider business mailing address

2040 RAYBROOK ST SE STE 103
GRAND RAPIDS MI
49546-7718
US

V. Phone/Fax

Practice location:
  • Phone: 616-419-4791
  • Fax:
Mailing address:
  • Phone: 616-419-4791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW COLLIN KRIEG
Title or Position: DIRECTOR
Credential: LPC
Phone: 616-419-4791