NPI Code Details Logo

NPI 1104773845

NPI 1104773845 : PARALLEL MINDS COUNSELING & CONSULTATION, LLC : NORTON SHORES, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104773845
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PARALLEL MINDS COUNSELING & CONSULTATION, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/12/2026
-----------------------------------------------------
    Last Update Date     |    03/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4265 GRAND HAVEN RD STE 208 
-----------------------------------------------------
    City                 |    NORTON SHORES
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49441-5546
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    231-447-0954
-----------------------------------------------------
    Fax                  |    231-202-4575
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3402 MAX PAULSEN DR UNIT A 
-----------------------------------------------------
    City                 |    MUSKEGON
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49444-3546
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    231-447-0954
-----------------------------------------------------
    Fax                  |    231-202-4575
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     TRISHA  KING 
-----------------------------------------------------
    Credential           |    LMSW
-----------------------------------------------------
    Telephone            |    231-903-9789
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QM0855X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.