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Organization

CHERRY STREET SERVICES, INC

Active
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Organization

CHERRY STREET SERVICES, INC

Active
Parent organization
CHERRY STREET SERVICES, INC.
Other names
Cherry Health - Tri County Middle School
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHERRY STREET SERVICES, INC.
Authorized official
TASHA BLACKMON (CEO)
(616) 965-8200
Entity
Organization

Contact information

Practice address
21350 KENDAVILLE RD, HOWARD CITY, MI 49329-8751
(231) 937-4318
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
172V00000X
Community Health Worker
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/23/2024
Last updated
02/23/2024
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