Provider Demographics
NPI:1093473399
Name:HEALING STREAMS COUNSELING AND CONSULTATION SERVICES
Entity Type:Organization
Organization Name:HEALING STREAMS COUNSELING AND CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LLP
Authorized Official - Phone:231-286-9422
Mailing Address - Street 1:2735 E APPLE AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-4481
Mailing Address - Country:US
Mailing Address - Phone:231-286-9422
Mailing Address - Fax:
Practice Address - Street 1:2735 E APPLE AVE STE 7
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-4481
Practice Address - Country:US
Practice Address - Phone:231-286-9422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty