Healthcare Provider Details

I. General information

NPI: 1003499302
Provider Name (Legal Business Name): DENIS PETER ENGLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 HOOVER BLVD STE 10
HOLLAND MI
49423-3755
US

IV. Provider business mailing address

238 HOOVER BLVD STE 10
HOLLAND MI
49423-3755
US

V. Phone/Fax

Practice location:
  • Phone: 616-591-9000
  • Fax: 616-591-9060
Mailing address:
  • Phone: 616-591-9000
  • Fax: 616-591-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025263
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: