Healthcare Provider Details

I. General information

NPI: 1427486893
Provider Name (Legal Business Name): SUZANNE SINGELYN MA, SPADA, CRC, LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 10/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 E. NEWELL ST.
WHITE CLOUD MI
49349
US

IV. Provider business mailing address

1049 E. NEWELL ST. PO BOX 867
WHITE CLOUD MI
49349
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-7330
  • Fax: 231-689-7500
Mailing address:
  • Phone: 231-689-7330
  • Fax: 231-689-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401013033
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: