MANDY GRENIER (NPI# 1609395888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609395888 |
| Entity Type | Individual |
| Full Name | MANDY GRENIER |
| Credential | BS |
| Practice Address |
Po Box 310 Tawas City MI 48764-0310 |
| Mailing Address |
320 S 3rd St West Branch MI 48661-1334 |
| Practice Telephone | 9893628636 |
| Mailing Telephone | 2489146338 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| 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 |
| Street Address |
PO BOX 310 |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48764-0310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540665 | Jamily Axline | Social Worker | 119 Harris Ave, Tawas City, MI 48764 | 2020-02-21 |
| 1760036222 | Karen Heier | Community Health Worker | 1199 W Harris St, Tawas City, MI 48764 | 2019-08-01 |
| 1922211325 | Ricardo Melegrito Velasco | Physical Therapist | 110 Beech Street, Tawas City, MI 48764 | 2007-05-08 |
| 1609803659 | Jon M Kaliszewski Md PC | Anesthesiology | 200 Hemlock M-55, Tawas, MI 48764 | 2006-06-26 |
| 1912943036 | Michele M Stockton | Chiropractor | 1113 W Lake St, Tawas City, MI 48764 | 2006-06-20 |
| 1497973762 | Alliance Imaging Inc | Clinic/Center | 200 Hemlock St, Tawas City, MI 48764 | 2007-04-23 |
| 1457389769 | Jon Mark Kaliszewski | Anesthesiology | 200 Hemlock M-55, Tawas, MI 48764 | 2006-06-28 |
| 1902126667 | Charity C Simpkins | Dietitian, Registered | 200 Hemlock, Tawas City, MI 48764-0659 | 2010-06-04 |
| 1417011701 | Ausable Valley Community Mental Health Services Board | Community/Behavioral Health | 1199 W Harris Ave, Tawas City, MI 48764-9310 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980314 | Greg Malewska | Nurse Practitioner | 420 W Lake St, Tawas City, MI 48763-8309 | 2020-10-23 |
| 1952913667 | Amber Lyn Hatcher | Occupational Therapist | 2682 Miller Rd, Tawas City, MI 48763-8619 | 2020-08-24 |
| 1932722907 | Nancy Clark | Occupational Therapist | 1147 S Bay Dr, Tawas City, MI 48763-9318 | 2020-05-25 |
| 1013540665 | Jamily Axline | Social Worker | 119 Harris Ave, Tawas City, MI 48764 | 2020-02-21 |
| 1760036222 | Karen Heier | Community Health Worker | 1199 W Harris St, Tawas City, MI 48764 | 2019-08-01 |
| 1285115733 | Rebekah Ann Palmer | Behavior Technician | 300 Margo St, Tawas City, MI 48763-9223 | 2018-08-23 |
| 1770074015 | Thomas Paul Rautenberg | Physical Therapist | 1320 S Rempert Rd, Tawas City, MI 48763-9583 | 2018-05-22 |
| 1629528724 | Theodore Hoxie | Technician, Other | 560 E M 55, Tawas City, MI 48763-9227 | 2016-10-12 |
| 1003363938 | Tricia Briggs | Technician, Other | 317 8th Ave, Tawas City, MI 48763-9792 | 2016-09-08 |
| 1033560321 | Teresa Dewald I | Technician, Other | 2582 Chamberlin Dr, Tawas City, MI 48763-9604 | 2016-06-28 |
| Find all providers in TAWAS CITY | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434669 | Great-lakes Restorative Counseling, LLC | Counselor | 11800 Merriman Rd Unit 510896, Livonia, MI 48151-2075 | 2020-10-16 |
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
| 1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1164030136 | Amina Mcclendon | Counselor | 22190 Avon Rd, Oak Park, MI 48237-2572 | 2020-07-16 |
| 1134747835 | Janita E Deal | Counselor | 503 Pearl St Ste 7, Ypsilanti, MI 48197-2615 | 2020-07-09 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48764 |
Please comment or provide details below to improve the information on MANDY GRENIER.
| 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.