Healthcare Provider Details

I. General information

NPI: 1659737666
Provider Name (Legal Business Name): KATHY PIECUCH COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8446 COPPER HARBOR ST
KALAMAZOO MI
49009-3908
US

IV. Provider business mailing address

8446 COPPER HARBOR ST
KALAMAZOO MI
49009-3908
US

V. Phone/Fax

Practice location:
  • Phone: 269-409-3000
  • Fax:
Mailing address:
  • Phone: 269-409-3000
  • Fax: 269-366-4004

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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY PIECUCH
Title or Position: OWNER/THERAPIST
Credential:
Phone: 269-303-3289