Cherry Street Services, Inc.

NPI 1558459164

Information of Cherry Street Services, Inc.

The NPI 1558459164 is an Organization type. NPI No 1558459164 belongs to Cherry Street Services, Inc.. Cherry Street Services, Inc. specializes in Social Worker. is practising at 550 Cherry St Se, Grand Rapids, Michigan 49503. You can also contact him via phone number (616) 965-8200.

Practice address located

  • 550 Cherry St Se
  • Grand Rapids, Michigan 49503
  • (616) 965-8200
  • (616) 965-8200

Mailling address located

  • 100 Cherry St Se
  • Grand Rapids, Michigan 49503
  • (616) 235-7272
  • (616) 235-7506
Cherry Street Services, Inc. is PECOS enrolled.
NPI No 1558459164
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No101YM0800XMental Healthn/an/a
No103TB0200XCognitive & Behavioraln/an/a
No103TC0700XClinicaln/an/a
No103TP2701XGroup Psychotherapyn/an/a
No104100000XSocial Workern/aMichigan
No122300000XDentistn/an/a
No133V00000XDietitian, Registeredn/an/a
No163W00000XRegistered Nursen/aMichigan
Yes207Q00000XFamily Medicinen/an/a
No207R00000XInternal Medicinen/an/a
No207W00000XOphthalmologyn/an/a
No208000000XPediatricsn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
MI231809Medicare Oscar/Certificationn/a
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