OrganizationActive
Cherry Street Services, Inc
NPI 1609555218 · Federally Qualified Health Center (FQHC) · Grand Rapids, MI
Provider details
- NPI number
- 1609555218
- 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) 965-8200
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- School Counselor101YS0200X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- School Social Worker1041S0200X
Behavioral Health & Social Service Providers
- Dentist122300000X
Dental Providers
Practice location
50 35th St Sw
Grand Rapids, MI 49548-2100
Phone: (616) 965-8200
Approximate (ZIP-level) locationGet directions
Mailing address
100 Cherry St Se
Grand Rapids, MI 49503-4526
Other names (DBA / former)
- Doing business as
- Godwin Heights Senior High School Health Center
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-07-12
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.