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

Cherry Street Services Inc

Organization Community/Behavioral Health Agency · NPI 1265081418

Cherry Street Services Inc is a Community/Behavioral Health Agency in Wyoming, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

2125 Wrenwood St SW Ofc Therapist
Wyoming, MI 49519-2362
Phone: (616) 530-7590
Fax: (616) 249-7673
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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
Community/Behavioral Health Agency Taxonomy 251S00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1265081418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services Inc
Authorized official Tasha Blackmon — Ceo · (616) 965-8215
Other names Wyoming Junior High School Health Center; Wyoming Junior High School Health Center
NPI enumeratedSeptember 10, 2019
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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