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 1982279428

Cherry Street Services Inc is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
9
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 Ste 200
Grand Rapids, MI 49507-3780
Phone: (616) 965-8379
Fax: (616) 940-5354
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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
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Social Worker Taxonomy 1041C0700X
Anesthesiology Physician Taxonomy 207L00000X
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1982279428
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services Inc
Authorized official Tasha Blackmon — Ceo · (616) 965-8200
Other names Cherry Health - Southside Health Center Suite 200; Cherry Health - Southside Health Center Suite 200
NPI enumeratedMay 26, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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