Individual provider · Type 1 NPI

Mikayla Nicole Rush, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1720771900 Active

Practice location

360 E Beltline Ave NE
Grand Rapids, MI 49506-1214

Call (616) 805-3660 Map

Fax (616) 805-3631

Mailing address

2015 Orlov Dr
Hudsonville, MI 49426-7514

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401225704 (MI)
Mental Health Counselor 101YM0800X6401225704 (MI)

Professional Counselor: Definition to come...

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About NPI 1720771900

Mikayla Nicole Rush, LPC's National Provider Identifier is 1720771900, issued on Jun 1, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 3, 2025.