Individual
BRENT DOORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121023
MI
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/27/2023
Last updated
10/16/2025
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