Individual provider · Type 1 NPI

Emma Moynihan

Counselor · Grand Rapids, MI

NPI number 1104701119 Active

Practice location

4867 E Beltline Ave NE, Building 1, Ste 400
Grand Rapids, MI 49525

Call (616) 202-2253 Map

Mailing address

6905 Forest Valley Drive SE
Grand Rapids, MI 49546

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6451024466 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104701119

Emma Moynihan's National Provider Identifier is 1104701119, issued on Aug 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 8, 2025.