Nextform Counseling, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Plymouth, MI. Organization (NPI-2).
NPI number1467257550
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1467257550
- Entity type
- Organization (NPI-2)
- Legal business name
- Nextform Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
8801 Mayflower DrPlymouth, MI 48170-3925
Phone 616-856-8028
Mailing address
8801 Mayflower DrPlymouth, MI 48170-3925
Phone 616-856-8028
Authorized official
Janine Renee Guastella
Owner
6168568028
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