Healthcare Provider Details

I. General information

NPI: 1407477698
Provider Name (Legal Business Name): HEALING CONVERSATIONS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 E GRAND RIVER RD STE 616
WILLIAMSTON MI
48895-9381
US

IV. Provider business mailing address

1295 E GRAND RIVER RD STE 616
WILLIAMSTON MI
48895-9381
US

V. Phone/Fax

Practice location:
  • Phone: 517-490-3664
  • Fax: 517-968-0931
Mailing address:
  • Phone: 517-490-3664
  • Fax: 517-968-0931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHANNON REED
Title or Position: CEO
Credential:
Phone: 517-490-3664