Provider Demographics
NPI:1215395017
Name:ORCHARD HILL COUNSELING
Entity Type:Organization
Organization Name:ORCHARD HILL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN MANEN
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:616-784-5095
Mailing Address - Street 1:1465 3 MILE RD NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49544-1614
Mailing Address - Country:US
Mailing Address - Phone:616-784-5095
Mailing Address - Fax:616-784-4410
Practice Address - Street 1:1465 3 MILE RD NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544-1614
Practice Address - Country:US
Practice Address - Phone:616-784-5095
Practice Address - Fax:616-784-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014678101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty