Healthcare Provider Details

I. General information

NPI: 1053973172
Provider Name (Legal Business Name): GUIDED DEVELOPMENT FAMILY PSYCHIATRIC CARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2019
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E SAVIDGE ST STE 6
SPRING LAKE MI
49456-2418
US

IV. Provider business mailing address

701 E SAVIDGE ST STE 6
SPRING LAKE MI
49456-2418
US

V. Phone/Fax

Practice location:
  • Phone: 616-566-5441
  • Fax:
Mailing address:
  • Phone: 616-970-2743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GERALD NICHOLAS SCHMUKER
Title or Position: OWNER
Credential: MD
Phone: 616-970-2743