Clinic/Center, Federally Qualified Health Center (FQHC)
CHERRY STREET SERVICES INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043592629 · enumerated 2011-09-09 · record updated 2021-10-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. TASHA BLACKMON, Executive Director · (616) 776-2121
Other names: LEONARD STREET COUNSELING CENTER
Addresses and phones
- Mailing address 100 CHERRY ST SE, GRAND RAPIDS, MI, 49503-4748 (616) 965-8200 Google Maps Apple Maps OpenStreetMap
- Practice location 1400 LEONARD STREET NE, GRAND RAPIDS, MI, 49505-5515 (616) 954-1991 Fax (616) 954-1998 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinical Neuropsychologist 103G00000X
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Pediatrics, Adolescent Medicine 2080A0000X
- Psychologist, Counseling 103TC1900X
- Social Worker, Clinical 1041C0700X
- Clinic/Center, Radiology, Mobile 261QR0208X
- Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X · Primary
In this directory
MI Kent County Grand Rapids Clinic/Center, Federally Qualified Health Center (FQHC)
Locations and evidence
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Practice location
GRAND RAPIDS, MI, 495055515
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.