Healthcare Provider Details

I. General information

NPI: 1619803913
Provider Name (Legal Business Name): DOMESTIC VIOLENCE COALITION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E PAW PAW ST STE 10
PAW PAW MI
49079-1434
US

IV. Provider business mailing address

303 E PAW PAW ST STE 10
PAW PAW MI
49079-1434
US

V. Phone/Fax

Practice location:
  • Phone: 269-998-2791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: MELANIE LYNN HOOKER
Title or Position: EXECUTIVE DIRECTOR
Credential: AA, BA, BS, MAFM
Phone: 269-655-9008