Organization · Type 2 NPI

Counseling & Consultation Resources PC

Mental Health Clinic/Center (Including Community Mental Health Center) · Holland, MI

NPI number 1013060151 Active

Practice location

720 E 8th St, Suite 2
Holland, MI 49423-3079

Fax (616) 355-0480

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	6301011810 (MI)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Holland

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NPI record

NPI: 1013060151
Entity type: Organization (Type 2)
Issued: Jan 20, 2007
Last updated: Jan 12, 2022
Status: Active

Other names

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Counseling & Consultation Resources · doing business as
Counseling & Consultation Resources · doing business as

Authorized official

Dr. Brent Michael Ellens, PSY.D.
President/owner
(616) 355-0549

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013060151

Counseling & Consultation Resources PC's National Provider Identifier is 1013060151, issued on Jan 20, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Holland, MI. The record was last updated on Jan 12, 2022.