Great Lakes Inclusion Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREAT LAKES INCLUSION CENTER

Practice address

12908 Robert LN
Wayland, MI 49348-9093

Phone

(269) 804-2215

NPI assigned

Mar 24, 2026

Last updated

Mar 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kylie Skinner

Title

Owner

Phone

(269) 804-2215

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1205774585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12908 ROBERT LN",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12908 ROBERT LN",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489093",
            "telephone_number": "269-804-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES INCLUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-804-2215"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Gann, BSN, RN
• Reagan Frances Gielincki, MS, OTR, IBCLC
• Tina Marie Gillman
• Christine Ann-Root Gomez, PTA
• Paige Goodman
• Virginia Jane Greenlee, OTR
• Adam Greenman, D.C.
• Brittany Marie Gregory, D.C.
• Gary Byron Gulish, D.O.
• Kendra Brooke Harring, DPT

• Community/Behavioral Health Agency in Wayland, MI
• Providers in Wayland, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.