Provider Demographics
NPI:1699293738
Name:WEST SHORE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:WEST SHORE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-355-3000
Mailing Address - Street 1:426 CENTURY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-2200
Mailing Address - Country:US
Mailing Address - Phone:616-355-3000
Mailing Address - Fax:616-355-2055
Practice Address - Street 1:426 CENTURY LN STE 100
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-2200
Practice Address - Country:US
Practice Address - Phone:616-355-3000
Practice Address - Fax:616-355-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health