Organization Active NPI

The Trauma and Attachment Center of West Michigan

  • Professional Counselor
  • Holland, MI
National Provider Identifier
1306544358
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE TRAUMA AND ATTACHMENT CENTER OF WEST MICHIGAN
Practice address
12330 James St Ste A80
Holland, MI 49424-8581
Phone
(616) 757-5667
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Duron, MA, LPCNPI 1811282916
Title
Founder
Phone
(616) 757-5667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12330 James St Ste A80
Holland, MI 49424-8581

Mailing address

12330 James St Ste A80
Holland, MI 49424-8581
Phone (616) 757-5667

National Provider Directory

National Provider Directory

Locations

12330 James St
Ste B70
Holland, MI 49424
Phone (616) 757-7572

12330 James St
Ste A80
Holland, MI 49424
Phone (616) 757-5667

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1306544358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE A80",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248581",
            "telephone_number": "616-757-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 JAMES ST STE A80",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248581",
            "telephone_number": "616-757-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAUMA AND ATTACHMENT CENTER OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DURON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "616-757-5667",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.