616 Sud Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

616 SUD SERVICES, LLC

Practice address

852 47TH St SW Ste 8
Wyoming, MI 49509-5104

Phone

(616) 878-3223

Fax

(616) 878-3211

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Mario I. Ledesma, MS, CCJP. CADC, SAP

Title

Clinican/Owner

Phone

(616) 878-3223

Specialties & licenses 1

Addresses

Other names 1

• 616 SUD Services, LLC Former legal business name

Locations

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1518670710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 47TH ST SW STE 8",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495095104",
            "telephone_number": "616-878-3223",
            "fax_number": "616-878-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 47TH ST SW STE 8",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495095104",
            "telephone_number": "616-878-3223",
            "fax_number": "616-878-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "616 SUD SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CLINICAN/OWNER",
        "authorized_official_telephone_number": "616-878-3223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CCJP. CADC, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "616 SUD Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "616 SUD Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• A Solution B, LLC
• James Abid, BSW
• Renee Kay Abner, PTA
• Nichole L Accetta, NP
• Thomas Achatz, LMSW

• Addiction (Substance Use Disorder) Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.