1386658607 NPI number — PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC

Table of content: (NPI 1386658607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386658607 NPI number — PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARMELEE & ASSOCIATES PSYCHOLOGICAL CONSULTING
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386658607
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
321 FULTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND HAVEN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49417-1231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-842-4772
Provider Business Mailing Address Fax Number:
616-842-5575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
321 FULTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND HAVEN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49417-1231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-842-4772
Provider Business Practice Location Address Fax Number:
616-842-5575
Provider Enumeration Date:
07/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MADISON
Authorized Official First Name:
HILLARI
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
616-842-4772

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103T00000X , with the licence number: 6301006864 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 680G048250 . This is a "BLUE CROSS BLUE SHIELD ID" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 7000007231 . This is a "PRIORITY HEALTH ID" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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