OrganizationActive
Cherry Street Services Inc
NPI 1386926004 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
Provider details
- NPI number
- 1386926004
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Cherry Street Services Inc
- Organization subpart
- Yes
- Authorized official
- Tasha Blackmon, Ceo(616) 965-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
2303 Kalamazoo Ave Se
Grand Rapids, MI 49507-3780
Phone: (616) 965-8390
Fax: (616) 254-8192
Approximate (ZIP-level) locationGet directions
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Other names (DBA / former)
- Doing business as
- Southside Health Center
- Doing business as
- Southside Health Center
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.