Provider Demographics
NPI:1457962078
Name:CAPPON CONSULTING LLC
Entity Type:Organization
Organization Name:CAPPON CONSULTING LLC
Other - Org Name:MEND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-202-8240
Mailing Address - Street 1:3413 TOMAHAWK DR SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-1961
Mailing Address - Country:US
Mailing Address - Phone:616-303-1313
Mailing Address - Fax:
Practice Address - Street 1:3413 TOMAHAWK DR SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1961
Practice Address - Country:US
Practice Address - Phone:616-303-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty