Organization
COMMUNITY HOPE CHRISTIAN COUNSELING & MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCIA J KELLEY (EXECUTIVE DIRECTOR)
(616) 225-8220
Entity
Organization
Contact information
Practice address
6728 VINING RD, GREENVILLE, MI 48838-9784
(616) 225-8220
(616) 225-8226
Mailing address
6728 VINING RD, GREENVILLE, MI 48838-9784
(616) 225-8220
(616) 225-8226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
1041C0700X
Clinical Social Worker
6801066841
MI
1041C0700X
Clinical Social Worker
Primary
6801081229
MI
1041C0700X
Clinical Social Worker
6801086970
MI
1041C0700X
Clinical Social Worker
6801087574
MI
1041C0700X
Clinical Social Worker
6802079741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800E910320
BC/BSM
MI
Enumeration date
08/31/2006
Last updated
08/01/2023
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