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

Grand Rapids Integrative Therapy LLC

Organization Mental Health Counselor · NPI 1790420990

Grand Rapids Integrative Therapy LLC is a Mental Health Counselor in Grandville, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4120 Chicago Dr SW Ste 4
Grandville, MI 49418-1281
Phone: (616) 889-6602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1790420990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desiree Andersen — Owner · (616) 889-6602
NPI enumeratedMay 2, 2022
Last updated in NPPESAugust 31, 2025
Certification dateAugust 31, 2025
Mailing address4120 Chicago Dr Sw Ste 4, Grandville, MI 49418-1281

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