Organization
FIRST LIGHT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM RICHARD SHANTY LPC, CAADC (OWNER)
(616) 402-4502
Entity
Organization
Contact information
Practice address
41 WASHINGTON AVE STE 308, GRAND HAVEN, MI 49417-1587
(616) 414-4962
Mailing address
1524 SLAYTON AVE, GRAND HAVEN, MI 49417-2039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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