Healthcare Provider Details

I. General information

NPI: 1225954522
Provider Name (Legal Business Name): BLACK CAT COUNSELING PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 DAVIS STREET
KALAMAZOO MI
49008
US

IV. Provider business mailing address

2925 OAKLAND DR PMB 253
KALAMAZOO MI
49008-3987
US

V. Phone/Fax

Practice location:
  • Phone: 586-868-3658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN HANSEN
Title or Position: COUNSELOR
Credential: LPC
Phone: 616-541-9116