Provider Demographics
NPI:1720781826
Name:SCOTT STEENWYK COUNSELING SERVICES
Entity Type:Organization
Organization Name:SCOTT STEENWYK COUNSELING SERVICES
Other - Org Name:SCOTT STEENWYK COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEENWYK
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-405-9430
Mailing Address - Street 1:6478 CASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-8988
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6478 CASTLE AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-8988
Practice Address - Country:US
Practice Address - Phone:616-405-9430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty