Leonard Street Counseling Center
Counselor Clinic
1400 Leonard Street Ne, Grand Rapids
Michigan, 49505-5515
616-954-1991 616-954-1998
Maps & DirectionsLeonard Street Counseling Center 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 Leonard Street Counseling Center is Mr. Tasha Blackmon
who is Executive Director of the clinic and his/her contact number is 616-776-2121.
Leonard Street Counseling Center 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:
Leonard Street Counseling Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Leonard Street Counseling Center |
| 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 Leonard Street Counseling Center 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 Leonard Street Counseling Center 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: | Leonard Street Counseling Center
100 Cherry St Se,
Grand Rapids, Michigan |
| Zip: | 49503-4748 |
| Phone Number: | 616-965-8200 |
| Fax Number: | -- |
Patients can reach Leonard Street Counseling Center 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 13 May, 2024.