Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cherry Street Services Inc

Organization Mental Health Counselor · NPI 1184974263

Cherry Street Services Inc is a Mental Health Counselor in Wyoming, Michigan. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
14
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2929 Burlingame Ave SW
Wyoming, MI 49509-2609
Phone: (616) 965-8333
Fax: (616) 940-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Mental Health Counselor Taxonomy 101YM0800X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Social Worker Taxonomy 104100000X
Dentist Taxonomy 122300000X
Registered Dietitian Taxonomy 133V00000X
Optometrist Taxonomy 152W00000X
Optician Taxonomy 156FX1800X
Registered Nurse Taxonomy 163W00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1184974263
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services
Authorized official Tasha Blackmon — Ceo · (616) 965-8200
Other names Wyoming Community Health Center; Wyoming Community Health Center
NPI enumeratedSeptember 14, 2012
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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