Healthcare Provider Details

I. General information

NPI: 1063364677
Provider Name (Legal Business Name): STRONG CENTER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 W NORTH ST
PEWAMO MI
48873-9722
US

IV. Provider business mailing address

197 W NORTH ST
PEWAMO MI
48873-9722
US

V. Phone/Fax

Practice location:
  • Phone: 517-881-9867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMANDA DAVARN
Title or Position: FOUNDER/PRESIDENT
Credential: LPC
Phone: 517-881-9867