Northern Lakes Community Mental Health Authority

LBN: Northern Lakes Community Mental Health Authority
Northern Lakes Community Mental Health Authority is an health care organization with primary practice located at 105 Hall Street Suite A, Traverse City MI 49684. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Northern Lakes Community Mental Health Authority can be contacted via phone (231) 922-4850, or through Stevenson, Nancy via phone (231) 922-4850.

Contact Information

Primary practice address
105 Hall Street Suite A Traverse City MI 49684
Fax: (231) 935-3856
Website:
Authorized official contact:
Name: Stevenson, Nancy

Profile Details

NPI number 1518068071
LBN Legal business name Northern Lakes Community Mental Health Authority
DBA Doing business as
Authorized official Stevenson, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 4th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518068071 NPPES
Michigan Other M007933 TRI CARE CHAMPUS
Michigan Other 0260B81097 TRI CARE CHAMPUS
Michigan Other 104985 TRI CARE CHAMPUS
Michigan MEDICAID 21 4540048 TRI CARE CHAMPUS

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