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Cherry Street Services Inc

Federally Qualified Health Center (FQHC) in Wyoming, MI · enumerated 2012 · authorized official Tasha Blackmon, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184974263

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Registry record

Entity type Organization (Type 2)
Legal business name Cherry Street Services Inc
Other name <Unavail>
Parent organization Cherry Street Services
Practice address 2929 Burlingame Ave Sw, Wyoming, MI, 49509
Phone (616) 965-8333
Fax (616) 940-5820
Enumeration date Sep 14, 2012
Last updated in NPPES May 17, 2024

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
152W00000X Optometrist Eye and Vision Services Providers Secondary
156FX1800X Optician Eye and Vision Services Providers Secondary
163W00000X Registered Nurse Nursing Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Tasha Blackmon
Title Ceo
Phone (616) 965-8200

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-17. Verify at npiregistry.cms.hhs.gov.
Where is Cherry Street Services Inc located?
The practice location on file with NPPES is in Wyoming, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-17.