# DAVIS COUNSELING GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Counseling Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477380988
- **Authorized official:** TRISTEN M DAVIS (OWNER)
- **Authorized official phone:** (501) 319-3899

## Contact information

- **Practice address:** 5030 CORPORATE EXCHANGE BLVD SE FL 2, GRAND RAPIDS, MI 49512-5506
- **Practice address phone:** (616) 315-1226
- **Mailing address:** 3940 PENINSULAR DR SE STE 230, GRAND RAPIDS, MI 49546-6187
- **Mailing address phone:** (501) 319-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024