Provider Demographics
NPI:1285299032
Name:UNITY COUNSELING LLC
Entity type:Organization
Organization Name:UNITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-526-8504
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-0338
Mailing Address - Country:US
Mailing Address - Phone:616-439-1866
Mailing Address - Fax:616-226-4603
Practice Address - Street 1:5020 E BELTLINE AVE NE STE 202
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6869
Practice Address - Country:US
Practice Address - Phone:616-439-1866
Practice Address - Fax:616-226-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty