Cherry Street Services Inc is a Counselor Clinic in Grand Rapids, Michigan. This organization is also known as sub part of Cherry Street Services Inc. It is located at 1400 Leonard Street Ne, Grand Rapids, MI and its contact number is 616-954-1991. The authorized person for Cherry Street Services Inc is Mr. Tasha Blackmon
who is Executive Director of the clinic and his/her contact number is 616-776-2121. Cherry Street Services Inc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Cherry Street Services Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Cherry Street Services Inc
Specialization:
Clinical Neuropsychologist
Clinic Address:
1400 Leonard Street Ne, Grand Rapids, Michigan, 49505-5515
Phone:
616-954-1991
Fax:
616-954-1998
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Tasha Blackmon
Position:
Executive Director
Contact Number:
616-776-2121
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cherry Street Services Inc clinic are as mentioned below.
NPI Number:
1043592629
Parent Organization:
Cherry Street Services Inc
NPI Enumeration Date:
09 Sep, 2011
NPI Last Update On:
01 Oct, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cherry Street Services Inc are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Clinical Neuropsychologist
Secondary
Counseling
Secondary
Clinical
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Adolescent Medicine
Secondary
Radiology, Mobile
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Cherry Street Services Inc 100 Cherry St Se, Grand Rapids, Michigan
Zip:
49503-4748
Phone Number:
616-965-8200
Fax Number:
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Patients can reach Cherry Street Services Inc at 1400 Leonard Street Ne, Grand Rapids, Michigan or can call to book an appointment on 616-954-1991. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.