Provider Demographics
NPI:1801218375
Name:MARSHA BARNOSKY COACHING & CONSULTING
Entity Type:Organization
Organization Name:MARSHA BARNOSKY COACHING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-402-8327
Mailing Address - Street 1:950 TAYLOR AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2282
Mailing Address - Country:US
Mailing Address - Phone:616-402-8327
Mailing Address - Fax:616-296-0711
Practice Address - Street 1:950 TAYLOR AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2282
Practice Address - Country:US
Practice Address - Phone:616-402-8327
Practice Address - Fax:616-296-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801019680104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty