Provider Demographics
NPI:1932843935
Name:1 VERSE COUNSELING AND CONSULTING PLLC
Entity Type:Organization
Organization Name:1 VERSE COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ARDRACE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS, TLLP
Authorized Official - Phone:616-238-0074
Mailing Address - Street 1:6650 AVALON DR SE
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7970
Mailing Address - Country:US
Mailing Address - Phone:616-914-3535
Mailing Address - Fax:
Practice Address - Street 1:1345 MONROE AVE NW STE 335
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4699
Practice Address - Country:US
Practice Address - Phone:616-238-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)