Provider Demographics
NPI:1346004918
Name:HARBOUR TOWNE COUNSELING AND PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:HARBOUR TOWNE COUNSELING AND PSYCHIATRY, PLLC
Other - Org Name:HARBOUR TOWNE COUNSELING AND PSYCHIATRY, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN'S ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEKSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:231-722-7980
Mailing Address - Street 1:8 W WALTON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1360
Mailing Address - Country:US
Mailing Address - Phone:231-722-7980
Mailing Address - Fax:231-722-7979
Practice Address - Street 1:8 W WALTON AVE STE B
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1360
Practice Address - Country:US
Practice Address - Phone:231-722-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty