Healthcare Provider Details

I. General information

NPI: 1457283194
Provider Name (Legal Business Name): OUT OF THE VALLEY COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E ALLEGAN ST
OTSEGO MI
49078-1101
US

IV. Provider business mailing address

3403 102ND AVE
GOBLES MI
49055-8857
US

V. Phone/Fax

Practice location:
  • Phone: 269-370-4020
  • Fax:
Mailing address:
  • Phone: 269-370-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH MAXWELL
Title or Position: OWNER, SOCIAL WORK THERAPIST
Credential: LMSW
Phone: 269-370-4020