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

Country-Side Counseling & Consultation Services, PC

Organization Mental Health Counselor · NPI 1184940751

Country-Side Counseling & Consultation Services, PC is a Mental Health Counselor in Fruitport, Michigan. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

388 N 3rd Ave Ste F
Fruitport, MI 49415-9785
Phone: (231) 571-0082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184940751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Bayne — President · (231) 571-0082
NPI enumeratedApril 8, 2010
Last updated in NPPESOctober 27, 2016
Mailing address388 N 3rd Ave, Suite F, Fruitport, MI 49415-9785

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