Leonard Street Counseling Center

LBN: Cherry Street Services Inc
Leonard Street Counseling Center is an health care organization with primary practice located at 1400 Leonard Street Ne , Grand Rapids MI 49505-5515. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Radiology, Mobile. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cherry Street Services Inc can be contacted via phone (616) 954-1991, or through Blackmon, Tasha via phone (616) 776-2121.

Contact Information

Primary practice address
1400 Leonard Street Ne Grand Rapids MI 49505-5515
Phone: (616) 954-1991
Fax: (616) 954-1998
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 776-2121

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1043592629
LBN Legal business name Cherry Street Services Inc
DBA Doing business as Leonard Street Counseling Center
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 9th, 2011
Last updated Oct 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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