Cody Lee Cupp
Individual provider Active NPI Community/Behavioral Health Agency · Lexington, MI
NPI 1174301733 · NPPES record last updated Sep 15, 2023
Key facts
- NPI
- 1174301733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 7265 Lakeshore Rd
Lexington, MI 48450-9779 - Phone
- (810) 625-3250
- NPI assigned
- Sep 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
7265 Lakeshore Rd
Lexington, MI 48450-9779
Mailing address
7265 Lakeshore Rd
Lexington, MI 48450-9779
Phone (810) 625-3250
Other providers in Lexington, MI
- Allison Megan Cole
- Victoria Lee Collins
- Felicia Mary Cooper
- Sherry A Cornell
- Kelsey Crampton
- Alexsia D'Arcy
- Nicole Dawson
- Stephanie Dawson
- Kelly Duvall
- Ehardts Pharmacy Inc
All providers in Lexington, MI · Community/Behavioral Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.