Provider Demographics
NPI:1386709244
Name:HEARTLAND COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:HEARTLAND COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:CLYDE
Authorized Official - Last Name:GUERNSEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS
Authorized Official - Phone:231-527-1890
Mailing Address - Street 1:203 S 3RD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1593
Mailing Address - Country:US
Mailing Address - Phone:231-527-1890
Mailing Address - Fax:231-527-1892
Practice Address - Street 1:203 S 3RD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1593
Practice Address - Country:US
Practice Address - Phone:231-527-1890
Practice Address - Fax:231-527-1892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010096101YP2500X
MI68010591081041C0700X
MI4101006200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty