Healthcare Provider Details

I. General information

NPI: 1366157745
Provider Name (Legal Business Name): ME 1ST COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6092 WOODFIELD DR SE APT 3
GRAND RAPIDS MI
49548-8542
US

IV. Provider business mailing address

1971 E BELTLINE AVE NE STE 106
GRAND RAPIDS MI
49525-7045
US

V. Phone/Fax

Practice location:
  • Phone: 616-636-7510
  • Fax:
Mailing address:
  • Phone: 616-636-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARMELITA YOUNG
Title or Position: CLINICIAN/THERAPIST
Credential: MS, LPC
Phone: 616-636-7510