MEDICARE: PARALLEL MINDS COUNSELING & CONSULTATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker
4	261QM0850X	Adult Mental Health Clinic/Center
5	261QM0855X	Adolescent and Children Mental Health Clinic/Center
6	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1104773845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARALLEL MINDS COUNSELING & CONSULTATION, LLC

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

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

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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