LLC BEHAVIOR SERVICES NPI 1972002111

NPI Information

NPI: 1972002111
Provider Name: LLC BEHAVIOR SERVICES

Other Name: LLC BEHAVIOR SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1960 MILLBROOK ST SE
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 633-3700
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LLC BEHAVIOR SERVICES is an addiction (substance use disorder) counselor in Grand Rapids, MI. LLC BEHAVIOR SERVICES NPI is 1972002111. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Llc Behavior Services.

The provider's business location address is:

1960 MILLBROOK ST SE
GRAND RAPIDS, MI
ZIP 49508-636
Phone: (616) 633-3700
Fax: (616) 930-4640

The provider's authorized official is Larry Mitchell .
The authorized official title is Executive Director Program Manager and has the following contact phone number (616) 633-3700.

The enumeration date for this NPI number is 2/2/2018 and was last updated on 2/2/2018.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C-00112	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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