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

Cherry Street Services Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1386926004

Cherry Street Services Inc is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
8
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

2303 Kalamazoo Ave SE
Grand Rapids, MI 49507-3780
Phone: (616) 965-8390
Fax: (616) 254-8192
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Registered Nurse Taxonomy 163W00000X
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X

Record details

NPI number1386926004
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services Inc
Authorized official Tasha Blackmon — Ceo · (616) 965-8215
Other names Southside Health Center; Southside Health Center
NPI enumeratedSeptember 20, 2011
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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