ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC NPI 1447356050

NPI Information

  • NPI: 1447356050
  • Provider Name: ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: ACAC, INC
  • CLIA Number: 23D2075450
  • Address: 3940 PENINSULAR DR SE STE 240
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 957-5850

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NPI Details

ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC is an addiction (substance use disorder) counselor in Grand Rapids, MI. ALCOHOL AND CHEMICAL ABUSE CONSULTANTS INC NPI is 1447356050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Acac, Inc.

The provider's business location address is:

3940 PENINSULAR DR SE STE 240
GRAND RAPIDS, MI
ZIP 49546-443
Phone: (616) 957-5850
Fax: (616) 957-5853

The provider's authorized official is Joe Whalen .
The authorized official title is Ceo and has the following contact phone number (231) 740-9566.

The CLIA number assigned to this NPI record is 23D2075450 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)410049MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthSA0410049MICHIGANNo
4101YM0800XCounselorMental HealthSA0610039MICHIGANNo
5101YP2500XCounselorProfessionalSA0410049MICHIGANNo
6101YP2500XCounselorProfessionalSA0610039MICHIGANNo
7101YA0400XCounselorAddiction (Substance Use Disorder)610039MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447356050MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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