Healthcare Provider Details

I. General information

NPI: 1568376416
Provider Name (Legal Business Name): ELENA BELAYA LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

865 OAKRIDGE RD STE A
MUSKEGON MI
49441-4097
US

IV. Provider business mailing address

1411 COLUMBUS AVE
GRAND HAVEN MI
49417-1562
US

V. Phone/Fax

Practice location:
  • Phone: 231-335-3116
  • Fax:
Mailing address:
  • Phone: 231-666-1608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451025422
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: