Organization · Type 2 NPI

Koinonia Professional Counseling Services LLC

Professional Counselor · Grand Rapids, MI

NPI number 1780079210 Active

Practice location

233 Fulton St E Ste 209E
Grand Rapids, MI 49503-3200

Call (616) 279-9978 Map

Fax (616) 724-4331

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401009315 (MI)

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About NPI 1780079210

Koinonia Professional Counseling Services LLC's National Provider Identifier is 1780079210, issued on Apr 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 22, 2026.