Provider Demographics
NPI:1053973172
Name:GUIDED DEVELOPMENT FAMILY PSYCHIATRIC CARE, PLC
Entity type:Organization
Organization Name:GUIDED DEVELOPMENT FAMILY PSYCHIATRIC CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:SCHMUKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-970-2743
Mailing Address - Street 1:701 E SAVIDGE ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-2418
Mailing Address - Country:US
Mailing Address - Phone:616-970-2743
Mailing Address - Fax:
Practice Address - Street 1:701 E SAVIDGE ST STE 6
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-2418
Practice Address - Country:US
Practice Address - Phone:616-566-5441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-29
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health