Provider Demographics
NPI:1780347583
Name:SUSAN HOFLAND COUNSELING
Entity type:Organization
Organization Name:SUSAN HOFLAND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HOFLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:616-403-1252
Mailing Address - Street 1:194 1/2 S RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3174
Mailing Address - Country:US
Mailing Address - Phone:616-403-1252
Mailing Address - Fax:
Practice Address - Street 1:194 1/2 S RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3174
Practice Address - Country:US
Practice Address - Phone:616-403-1252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty