Provider Demographics
NPI:1720962384
Name:SHORELINE COUNSELING LLC
Entity type:Organization
Organization Name:SHORELINE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNOTALA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-466-4333
Mailing Address - Street 1:3154 GRIESBACH ST
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-3610
Mailing Address - Country:US
Mailing Address - Phone:616-466-4333
Mailing Address - Fax:
Practice Address - Street 1:3154 GRIESBACH ST
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-3610
Practice Address - Country:US
Practice Address - Phone:616-466-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty