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Kyra Granroth

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Negaunee, MI

NPI 1982447066 · NPPES record last updated Jun 17, 2024

Key facts

NPI
1982447066
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
104 Malton Rd
Negaunee, MI 49866-2000
Phone
(906) 228-4692
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Centers Past
since Jun 23, 2024		 Accepting new patients
Great Lakes Recovery Centers Past
since Apr 21, 2024		 Accepting new patients
Great Lakes Recovery Centers Past
since Jun 23, 2024		 Accepting new patients
Great Lakes Recovery Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

104 Malton Rd
Negaunee, MI 49866-2000

Mailing address

97 S 4TH St
Ishpeming, MI 49849-2168
Phone (906) 228-9699

Other practice location 1

100 Malton Rd Ste 6
Negaunee, MI 49866-2002
Phone (906) 485-2347

Other practice location 2

100 Malton Rd Ste 1
Negaunee, MI 49866-2002
Phone (906) 451-4889

Other practice location 3

241 Wright St
Marquette, MI 49855-1955
Phone (906) 228-7611

Other practice location 4

241 Wright St Bldg 1
Marquette, MI 49855-1955
Phone (906) 228-6545

Other providers in Negaunee, MI

All providers in Negaunee, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.