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NPI 1265316301

NPI 1265316301 : MATTHEW ZOERHOF LLC : GRAND RAPIDS, MI

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General NPI Number Information
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    NPI Number           |    1265316301
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    Entity Type          |    Organization 
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    Legal Business Name  |    MATTHEW ZOERHOF LLC 
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Dates
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    Enumeration Date     |    08/01/2025
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    800 MONROE AVE NW STE 214 
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    City                 |    GRAND RAPIDS
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    State                |    MI
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    Zip                  |    49503-1449
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    Country              |    US
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    Telephone            |    616-219-0513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10 
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    City                 |    MASON
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    State                |    MI
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    Zip                  |    48854-0010
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/MENTAL HEALTH COUNSELOR
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    Name                 |     MATTHEW  ZOERHOF 
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    Credential           |    LPC
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    Telephone            |    616-219-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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