Organization
KATHY PIECUCH COUNSELING SERVICES
Active
Other names
Brain Body Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY PIECUCH (OWNER/THERAPIST)
(269) 303-3289
Entity
Organization
Contact information
Practice address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Mailing address
6070 NEWPORT RD, PORTAGE, MI 49002-9234
(269) 409-3000
(269) 366-4004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/06/2016
Last updated
03/18/2026
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