Provider Demographics
NPI:1366035479
Name:OPEN CHAIR COUNSELING LLC
Entity type:Organization
Organization Name:OPEN CHAIR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER,LICENSED PROFESSIONA
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-202-1280
Mailing Address - Street 1:9028 NORTH RODGERS COURT SE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316
Mailing Address - Country:US
Mailing Address - Phone:616-202-1280
Mailing Address - Fax:269-256-6677
Practice Address - Street 1:9028 NORTH RODGERS COURT SE
Practice Address - Street 2:SUITE D
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316
Practice Address - Country:US
Practice Address - Phone:616-202-1280
Practice Address - Fax:269-256-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty