ERIC BRUCE HAYWOOD (NPI# 1083064448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083064448 |
| Entity Type | Individual |
| Full Name | ERIC BRUCE HAYWOOD |
| Credential | BS, CAADC |
| Practice Address |
940 E 8th St Traverse City MI 49686-2893 |
| Mailing Address |
415 Cass St Suite 2a & 2d Traverse City MI 49684-2589 |
| Practice Telephone | 2314095594 |
| Practice Fax Number | 2319432590 |
| Mailing Telephone | 2314095594 |
| Mailing Fax Number | 2319432590 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
940 E 8TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052196 | Addiction Treatment Services | Counselor | 940 E 8th St, Traverse City, MI 49686-2762 | 2005-11-30 |
| 1376997890 | Amy Wagner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1578917092 | Kyle Trumbull | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1740634260 | Becky Turner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1124472642 | Rebecca Mcdermondt | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1316391832 | Deana Guy | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1588018006 | David Stetson | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1558715086 | Hannah Driver | Driver | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1184078602 | Mark Wisney | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1861846388 | Katherine Ingersoll | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950257 | Actualized Self Counseling and Wellness P.l.l.c. | Counselor | 3301 Veterans Dr Ste 106, Traverse City, MI 49684-4592 | 2018-11-02 |
| 1649624180 | Jessica Mcgraw | Counselor | 445 E State St, Traverse City, MI 49686-2603 | 2016-04-21 |
| 1801226683 | Amy Marie Cox | Counselor | 216 Munson Ave Ste A, Traverse City, MI 49686-3099 | 2013-11-15 |
| 1568785442 | Melinda Ann Walker | Counselor | 13651 S W Bayshore Dr., Suite 309, Traverse City, MI 49684 | 2010-03-08 |
| 1164694030 | Chad Thomas Bousamra | Counselor | 1105 E Eighth St, Traverse City, MI 49686-2936 | 2008-03-31 |
| 1760531271 | Kathryn Louise Martin | Counselor | 827 W Front St, Traverse City, MI 49684-2465 | 2007-01-10 |
| 1629052196 | Addiction Treatment Services | Counselor | 940 E 8th St, Traverse City, MI 49686-2762 | 2005-11-30 |
| 1689211039 | Peter Laskey | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| 1679110027 | Matthew Springberg | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| 1750928107 | Sydney Wendels | Counselor | 1010 S Garfield Ave, Traverse City, MI 49686-3434 | 2019-12-04 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on ERIC BRUCE HAYWOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.