Provider Demographics
NPI:1285241463
Name:HEINLEN COUNSELING PLLC
Entity type:Organization
Organization Name:HEINLEN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:HEINLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-537-2872
Mailing Address - Street 1:3181 PRAIRIE ST SW STE 104
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2076
Mailing Address - Country:US
Mailing Address - Phone:616-537-2872
Mailing Address - Fax:
Practice Address - Street 1:3181 PRAIRIE ST SW STE 104
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2076
Practice Address - Country:US
Practice Address - Phone:616-537-2872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty