Healthcare Provider Details

I. General information

NPI: 1003423773
Provider Name (Legal Business Name): TRUE2U COUNSELING LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 03/21/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 PORTAGE ST STE 111
KALAMAZOO MI
49001-4962
US

IV. Provider business mailing address

4000 PORTAGE ST STE 111
KALAMAZOO MI
49001-4962
US

V. Phone/Fax

Practice location:
  • Phone: 269-365-0128
  • Fax:
Mailing address:
  • Phone: 269-365-0128
  • Fax: 269-350-5733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HILLARY SMITH
Title or Position: OWNER
Credential: LMSW
Phone: 401-575-6736