Provider Demographics
NPI:1356962658
Name:CLEARER VIEW COUNSELING LLC
Entity type:Organization
Organization Name:CLEARER VIEW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOTCHKA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW,CAADC
Authorized Official - Phone:616-648-4407
Mailing Address - Street 1:1345 MONROE AVE NW STE 323
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4674
Mailing Address - Country:US
Mailing Address - Phone:616-648-4407
Mailing Address - Fax:616-608-4657
Practice Address - Street 1:1345 MONROE AVE NW STE 323
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4674
Practice Address - Country:US
Practice Address - Phone:616-648-4407
Practice Address - Fax:616-608-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty