Healthcare Provider Details
I. General information
NPI: 1508711144
Provider Name (Legal Business Name): GRACES HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17798 WOODCREEK LN
SPRING LAKE MI
49456-9237
US
IV. Provider business mailing address
17798 WOODCREEK LN
SPRING LAKE MI
49456-9237
US
V. Phone/Fax
- Phone: 616-901-4180
- Fax: 616-901-4180
- Phone: 616-901-4180
- Fax: 616-901-4180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
ALKEMA
Title or Position: THERAPIST
Credential: LPC
Phone: 616-901-4180