Cherry Street Services, Inc

LBN: Cherry Street Services, Inc
Cherry Street Services, Inc is an health care organization with primary practice located at 50 35Th St Sw , Grand Rapids MI 49548-2100. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dental Providers / Dental Hygienist, Dental Providers / Dental Therapist, Dental Providers / Dental Assistant, Dietary & Nutritional Service Providers / Dietitian, Registered, Eye and Vision Services Providers / Optometrist, Nursing Service Providers / School, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). 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) 965-8200, or through Blackmon, Tasha via phone (616) 965-8200.

Contact Information

Primary practice address
50 35Th St Sw Grand Rapids MI 49548-2100
Phone: (616) 965-8200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 965-8200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Dental Providers / Dentist 122300000X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Therapist 125J00000X
Dental Providers / Dental Assistant 126800000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Eye and Vision Services Providers / Optometrist 152W00000X
Nursing Service Providers / School 163WS0200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1609555218
LBN Legal business name Cherry Street Services, Inc
DBA Doing business as
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 12th, 2023
Last updated Jul 12th, 2023 - about last year

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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