Provider Demographics
NPI:1982305769
Name:MORNING STAR COUNSELING GR
Entity Type:Organization
Organization Name:MORNING STAR COUNSELING GR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANBELOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-915-7838
Mailing Address - Street 1:1680 E PARIS AVE SE STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8809
Mailing Address - Country:US
Mailing Address - Phone:616-915-7838
Mailing Address - Fax:
Practice Address - Street 1:1680 E PARIS AVE SE STE 300
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8809
Practice Address - Country:US
Practice Address - Phone:616-915-7838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty