Healthcare Provider Details

I. General information

NPI: 1588906119
Provider Name (Legal Business Name): ADAPTIVE COUNSELING AND CASE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3298 VETERANS DR STE 1
TRAVERSE CITY MI
49684-4725
US

IV. Provider business mailing address

3298 VETERANS DR STE 1
TRAVERSE CITY MI
49684-4725
US

V. Phone/Fax

Practice location:
  • Phone: 317-158-4662
  • Fax: 231-943-2263
Mailing address:
  • Phone: 231-715-8466
  • Fax: 231-943-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number6801089389
License Number StateMI

VIII. Authorized Official

Name: SHARON HARRIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 231-715-1491