Provider Demographics
NPI:1386658607
Name:PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:PARMELEE & ASSOCIATES COUNSELING AND CONSULTING LLC
Other - Org Name:PARMELEE & ASSOCIATES PSYCHOLOGICAL CONSULTING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HILLARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:616-842-4772
Mailing Address - Street 1:321 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-1231
Mailing Address - Country:US
Mailing Address - Phone:616-842-4772
Mailing Address - Fax:616-842-5575
Practice Address - Street 1:321 FULTON ST
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1231
Practice Address - Country:US
Practice Address - Phone:616-842-4772
Practice Address - Fax:616-842-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103T00000X, 1041C0700X, 106H00000X
MI6301006864103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI680G048250OtherBLUE CROSS BLUE SHIELD ID
MI7000007231OtherPRIORITY HEALTH ID