Healthcare Provider Details

I. General information

NPI: 1720713761
Provider Name (Legal Business Name): TRUE YOU COACHING AND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 CENTER ST STE C
NORTH MUSKEGON MI
49445-3113
US

IV. Provider business mailing address

4018 PLYMOUTH DR
NORTON SHORES MI
49441-5032
US

V. Phone/Fax

Practice location:
  • Phone: 231-206-8079
  • Fax:
Mailing address:
  • Phone: 231-206-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SWIER
Title or Position: CO-OWNER
Credential: LMSW
Phone: 231-206-8079