Sanford Behavioral Health Outpatient LLC
Organization Active NPI Multi-Specialty Clinic/Center · Marne, MI
NPI 1679201271 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1679201271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC
- Practice address
- 15146 16TH Ave
Marne, MI 49435-9605 - Phone
- (844) 776-9651
- NPI assigned
- Aug 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Stephanie Robinson
- Title
- Credentialing & Contracting Manager
- Phone
- (616) 520-9074
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Social Worker |
104100000X | |||
| Nutrition Education Nutritionist |
133NN1002X | |||
| Registered Dietitian |
133V00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
15146 16TH Ave
Marne, MI 49435-9605
Mailing address
15146 16TH Ave
Marne, MI 49435-9605
Phone (844) 776-9651
Other names
- Sanford Behavioral Health Outpatient LLC
Other providers in Marne, MI
- Kylie Pershey
- Radiant Life Therapies LLC
- Lisa Helen Rector
- Kaylie Reed
- Matthew Andrew Robinson
- Sanford Psych Services LLC
- Sanford West LLC
- Sanford West LLC
- Kaitlyn Ilene Seiter
- Nicholas James Selzer
All providers in Marne, MI · Multi-Specialty Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. 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.