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

Intentional Life Counseling & Addictions Treatment PLLC

Organization Clinical Social Worker · NPI 1912416181

Intentional Life Counseling & Addictions Treatment PLLC is a Clinical Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1444 Michigan St NE Ste 3
Grand Rapids, MI 49503-2028
Phone: (616) 734-9745
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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

Record details

NPI number1912416181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thavone Huinil — Owner · (616) 734-9745
NPI enumeratedSeptember 20, 2017
Last updated in NPPESSeptember 20, 2017
Mailing address1444 Michigan St Ne Ste 3, Grand Rapids, MI 49503-2028

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