Healthcare Provider Details

I. General information

NPI: 1053241414
Provider Name (Legal Business Name): 51/49 COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 STANDISH AVE APT 208
PETOSKEY MI
49770-3066
US

IV. Provider business mailing address

1424 STANDISH AVE APT 208
PETOSKEY MI
49770-3066
US

V. Phone/Fax

Practice location:
  • Phone: 231-215-7109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KEITH HEAD
Title or Position: OWNER/THERAPIST
Credential: LMSW-C
Phone: 231-215-7109