MEDICARE: PEAK COUNSELING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1699459172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK COUNSELING, LLC

Provider Business Mailing Address
First Line	:	40 PEARL ST NW STE 341
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-3026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PEARL ST NW STE 341
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-3026
Country	:	US
Telephone Number	:	708-420-4989
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA MCDANIEL
Credential	:	LMSW
Telephone Number	:	708-420-4989

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	08/21/2023

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Directions to “PEAK COUNSELING, LLC ” Practice Location

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