Tahoma Enterprises LLC

NPI #1366009961 in Jenison, Michigan

Provider Information

NPI Number: 1366009961
Entity Type: Organization
Organization Name: Tahoma Enterprises LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TAHOMA ENTERPRISES, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 20, 2019
Last Updated: Feb 5, 2026

Practice Location

Address: 1346 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-8937
Phone: (616) 765-8585

Authorized Official

Name: SALENA CORNER, LMSW
Title: OWNER
Phone: (616) 765-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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