Healthcare Provider Details

I. General information

NPI: 1881353407
Provider Name (Legal Business Name): PEGGY CAHUE-KUIPERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11927 LAKEWAY DR
PLAINWELL MI
49080-9088
US

IV. Provider business mailing address

11927 LAKEWAY DR
PLAINWELL MI
49080-9088
US

V. Phone/Fax

Practice location:
  • Phone: 269-870-3903
  • Fax:
Mailing address:
  • Phone: 269-870-3903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PEGGY CAHUE-KUIPERS
Title or Position: OWNER
Credential: LPC
Phone: 269-870-3903