Healthcare Provider Details

I. General information

NPI: 1609793983
Provider Name (Legal Business Name): STILLWATER COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 E BELTLINE AVE SE STE 208
GRAND RAPIDS MI
49546-7673
US

IV. Provider business mailing address

2675 BURGEN CT NE
GRAND RAPIDS MI
49525-3979
US

V. Phone/Fax

Practice location:
  • Phone: 616-550-3496
  • Fax: 616-550-3496
Mailing address:
  • Phone: 616-550-3496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA KAY ZEERYP
Title or Position: BUSINESS OWNER
Credential: LPC
Phone: 616-550-3496