Country-Side Counseling & Consultation Services, PC
Organization Active NPI Mental Health Counselor · Fruitport, MI
NPI 1184940751 · NPPES record last updated Oct 27, 2016
Key facts
- NPI
- 1184940751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- COUNTRY-SIDE COUNSELING & CONSULTATION SERVICES, PC
- Practice address
- 388 N 3Rd Ave
Suite F
Fruitport, MI 49415-9785 - Phone
- (231) 571-0082
- NPI assigned
- Apr 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Roger Dale Bayne, L.P.C
- Title
- President
- Phone
- (231) 571-0082
National Provider Directory
Locations
388 N 3rd Ave
Ste F
Fruitport, MI 49415
Phone (231) 206-4066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
388 N 3Rd Ave
Suite F
Fruitport, MI 49415-9785
Mailing address
388 N 3Rd Ave
Suite F
Fruitport, MI 49415-9785
Phone (231) 571-0082
Other providers in Fruitport, MI
- Sameen Bashir Butt
- CCR Home Health Care
- Jacob Charron
- Chelsea Klipfel, D.D.S., P.L.L.C.
- Christopher Sortman DDS, P.C.
- Delphia Croff
- Allison Nichole Crowl
- Nathan Dills
- Donna L Rick DDS PC
- David Leon Dora
All providers in Fruitport, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.