Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Portage Life Coaching and Counseling LLP

Organization Clinical Social Worker · NPI 1366052011

Portage Life Coaching and Counseling LLP provides Clinical Social Worker services in Portage, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10032 Shaver Rd
Portage, MI 49024-6738
Phone: (269) 993-9977
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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 number1366052011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Brooks — Ceo · (269) 447-8758
NPI enumeratedAugust 7, 2020
Last updated in NPPESNovember 27, 2023
Certification dateAugust 7, 2020
Mailing address10032 Shaver Rd, Portage, MI 49024-6738

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