Healthcare Provider Details

I. General information

NPI: 1083539985
Provider Name (Legal Business Name): ALISON UPDYKE LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4265 GRAND HAVEN RD STE 208
NORTON SHORES MI
49441-5546
US

IV. Provider business mailing address

4265 GRAND HAVEN RD STE 208
NORTON SHORES MI
49441-5546
US

V. Phone/Fax

Practice location:
  • Phone: 231-286-0991
  • Fax:
Mailing address:
  • Phone: 231-286-0991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024945
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: