Organization
LAKESHORE PSYCHOLOGICAL & COUNSELING SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOHERTY PSYD (OWNER)
(616) 464-1747
Entity
Organization
Contact information
Practice address
194 1/2 S RIVER AVE, HOLLAND, MI 49423-3174
(616) 402-5093
Mailing address
194 1/2 S RIVER AVE, HOLLAND, MI 49423-3174
(616) 402-5093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009797
MI
103T00000X
Psychologist
Primary
6301011612
MI
Other
Enumeration date
06/17/2014
Last updated
06/19/2026
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