Shoreline Therapy Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801073168 Issued in MI

Legal business name

SHORELINE THERAPY SERVICES, PLLC

Practice address

116 W Colby St
Suite B2
Whitehall, MI 49461-1083

Phone

(231) 557-5319

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Lynn Sias, LMSW

Title

Owner

Phone

(231) 557-5319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1598208092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "SUITE B2",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-557-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "SUITE B2",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-557-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SIAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-557-5319",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801073168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Therese Ryan, PA-C
• Erik Michael Sanford
• Amanda Susan Seaver
• Alyssa Nikole Seeger, LMSW
• Shopko Stores Operating Co LLC
• Melissa Lynn Sias, LMSW
• Amy Susan Simpson, LMSW
• Lee Alan Smith
• Frank Edward Staab, LLPC
• Jacqueline Stewart, FNP

• Community/Behavioral Health Agency in Whitehall, MI
• Providers in Whitehall, 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 Dec 1, 2016; 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.