Healthcare Provider Details

I. General information

NPI: 1760110092
Provider Name (Legal Business Name): HEATHER ALLBEE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5985 W MAIN ST STE 804
KALAMAZOO MI
49009-8708
US

IV. Provider business mailing address

5985 W MAIN ST STE 804
KALAMAZOO MI
49009-8708
US

V. Phone/Fax

Practice location:
  • Phone: 269-290-1258
  • Fax:
Mailing address:
  • Phone: 269-290-1258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HETAHER ALLBEE
Title or Position: BUSINESS OWNER
Credential: LPC
Phone: 269-290-1258