Michelle Louise Hermann

Individual provider Active NPI Substance Abuse Rehabilitation Facility · Clio, MI

NPI 1164360657 · NPPES record last updated Mar 24, 2026

Key facts

NPI
1164360657
Entity type
Individual (NPI type 1)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Practice address
5099 W Farrand Rd
Clio, MI 48420-8215
Phone
(586) 491-7598
NPI assigned
Mar 24, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Mission, LLC Substance Abuse Rehabilitation Facility Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MI Yes

Addresses

Primary practice location

5099 W Farrand Rd
Clio, MI 48420-8215

Mailing address

5099 W Farrand Rd
Clio, MI 48420-8215
Phone (586) 491-7598

Other practice location 1

702 Mason St
Flint, MI 48503-2413
Phone (810) 487-4676

Other providers in Clio, MI

All providers in Clio, MI · Substance Abuse Rehabilitation Facility in Michigan

Sources for this page

Verify at the official NPI Registry.