Healthcare Provider Details

I. General information

NPI: 1760452122
Provider Name (Legal Business Name): IONIA COUNTY COMMUNITY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 APPLE TREE DR
IONIA MI
48846-7506
US

IV. Provider business mailing address

375 APPLE TREE DR
IONIA MI
48846-7506
US

V. Phone/Fax

Practice location:
  • Phone: 616-527-1790
  • Fax: 616-527-0538
Mailing address:
  • Phone: 616-527-1790
  • Fax: 616-527-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KERRY POSSEHN
Title or Position: CEO
Credential:
Phone: 616-527-1790