LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS


Address: 101 Greenwood, Petoskey, MI 49770
Phone: 2312421642

LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS (NPI# 1235342866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235342866
Entity Type Organization
Organization Name LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Practice Address 101 Greenwood
Petoskey
MI 49770
Mailing Address 7500 Odawa Circle
Harbor Springs
MI 49740
Practice Telephone 2312421642
Practice Fax Number 2312421659
Mailing Telephone 2312421400
Mailing Fax Number 2312421659
Enumeration Date 2007-05-08
Last Update Date 2020-08-22
Authorized Official Name MS. LINDA M WOODS (SUBSTANCE ABUSE DIRECTOR)
Authorized Official Telephone 2312421646
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 240029 MI Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124052816 Little Traverse Bay Bands of Odawa Indians Clinic/Center 1250 Lears Rd., Petoskey, MI 49770-8774 2006-07-10
1588108260 Little Traverse Bay Bands of Odawa Indians Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 1250 Lears Rd, Petoskey, MI 49770-9252 2016-12-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS 7500 Odawa Cir, Harbor Springs, MI 49740-9692

Office Location

Street Address 101 GREENWOOD
City PETOSKEY
State MI
Zip Code 49770

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780231985 Olivia Michelle Seaman Pharmacist 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 2019-08-22
1649733148 Harbor Hall, Inc. Clinic/Center 302 Orchard Ridge Drive, Petoskey, MI 49770 2019-04-11
1053802942 Devin Hueston Dentist 231 State St Ste 3, Petoskey, MI 49770 2018-05-25
1720585037 Jacob Kenneth Tracy Counselor 410 E Lake Street, Suite 100, Petoskey, MI 49770 2018-04-12
1013424191 Timothy Robert La Gasse Nurse Practitioner 401 Connable Ave, Petoskey, MI 49770 2018-01-10
1609303676 Shauna Sue Stark Nurse Practitioner 560 W Mitchell St Ste 505, Petoskey, MI 49770 2017-05-22
1053851519 Maureen Todd Counselor 703 Emmet St, Petoskey, MI 49770 2017-03-03
1457719239 Hufford Vision & Eye Care, PC Optometrist 560 West Mitchell, Suite 214, Petoskey, MI 49770 2016-02-08
1053779439 Kaylyn Schiemann Specialist/Technologist 1980 Maxwell Rd, Petoskey, MI 49770 2016-02-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881060549 North Country Community Mental Health Community/Behavioral Health 1420 Plaza Dr, Petoskey, MI 49770-9420 2015-08-18
1821477845 The Men's Counseling Center of Northern Michigan, LLC Community/Behavioral Health 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 2015-05-22
1275940280 Susan M. Hoffman Community/Behavioral Health 231 State St, Petoskey, MI 49770-2785 2014-07-22
1518208008 Mosaic Center for Integrative Therapy, LLC Community/Behavioral Health 2202 Mitchell Park Dr, Suite 2b, Petoskey, MI 49770-8897 2013-03-07
1366760381 North Country Community Mental Health Community/Behavioral Health 1 Macdonald Dr, Suite A, Petoskey, MI 49770-4406 2010-05-14
1053474015 North Country Community Mental Health Community/Behavioral Health 1420 Plaza Dr, Petoskey, MI 49770-9420 2006-12-19

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1407457864 Initial Steps Behavioral and Learning Services Community/Behavioral Health 50203 Paine St, Canton, MI 48188-3332 2020-11-03
1720688617 Mjw Counseling Services Community/Behavioral Health 564 Marcia St Sw, Wyoming, MI 49509-4013 2020-10-29
1174122345 Allison Johnston Lpc Community/Behavioral Health 51500 Birch St. Suite C, New Baltimore, MI 48047 2020-10-20
1003414632 Res-care Premier, Inc. Community/Behavioral Health 209 Kings Ln, Battle Creek, MI 49014-7832 2020-10-15
1104423508 Cherry Street Services Inc Community/Behavioral Health 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 2020-10-08
1447857156 Lauren Elizabeth Thayer Community/Behavioral Health 3257 City View Ct, Hudsonville, MI 49426-9013 2020-10-06
1093312613 Guarding Therapy & Counseling Services, Pllc Community/Behavioral Health 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 2020-10-06
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1013524032 I Need A Moment, LLC Community/Behavioral Health 20411 Alhambra St, Southfield, MI 48076-5422 2020-09-24
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Competitor

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City PETOSKEY
Zip Code 49770

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Dataset Information

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.

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