OrganizationActive
616 Counseling Professional Corporation
NPI 1467925222 · Clinical Social Worker · Grand Rapids, MI
Provider details
- NPI number
- 1467925222
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shawn Gauthier, Partner & Clinical Social Worker(616) 930-4123
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Practice location
550 Cascade West Pkwy Se
Grand Rapids, MI 49546-2137
Phone: (616) 930-4123
Fax: (616) 323-3994
Approximate (ZIP-level) locationGet directions
Mailing address
550 Cascade West Pkwy Se
Grand Rapids, MI 49546-2137
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.