SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC NPI 1679201271

NPI Information

  • NPI: 1679201271
  • Provider Name: SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC
  • CLIA Number: 23D2244048
  • Address: 15146 16TH AVE
    MARNE, MI
    ZIP 49435
  • Phone: (844) 776-9651

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NPI Details

SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC is a multi-specialty clinic center in Marne, MI. SANFORD BEHAVIORAL HEALTH OUTPATIENT LLC NPI is 1679201271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Behavioral Health Outpatient Llc.

The provider's business location address is:

15146 16TH AVE
MARNE, MI
ZIP 49435-605
Phone: (844) 776-9651

The provider's authorized official is Stephanie Robinson .
The authorized official title is Credentialing & Contracting Manager and has the following contact phone number (616) 520-9074.

The CLIA number assigned to this NPI record is 23D2244048 - other - behavior health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2022 and was last updated on 8/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerNo
4133NN1002XNutritionistNutrition, EducationNo
5133V00000XDietitian, RegisteredNo
6261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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