GREAT LAKES RECOVERY CENTERS, INC. (NPI# 1922300714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922300714 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
| Practice Address |
3120 10th Street Suite 2 Menominee MI 49858 |
| Mailing Address |
97 S 4th St Suite C Ishpeming MI 49849-2168 |
| Practice Telephone | 9068634153 |
| Practice Fax Number | 9068634153 |
| Mailing Telephone | 9062289699 |
| Mailing Fax Number | 9062280505 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MR. GREG M. TOUTANT (CEO) |
| Authorized Official Telephone | 9062289699 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | Y |
| Parent Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 550027 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3272541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1679742597 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 2655 Ashmun St., Sault Ste. Marie, MI 49783 | 2008-02-25 |
| 1932378858 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 241 Wright Street, Marquette, MI 49855 | 2008-02-25 |
| 1801065925 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 301 E Spruce St, Sault Sainte Marie, MI 49783-2134 | 2008-02-22 |
| 1821267956 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 220 Rooselvelt Street, Ironwood, MI 49938 | 2008-02-22 |
| 1215106349 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 | 2008-02-22 |
| Street Address |
3120 10TH STREET SUITE 2 |
| City | MENOMINEE |
| State | MI |
| Zip Code | 49858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1669955514 | Corrina Rae Anderson | Behavior Technician | 1104 16th Ave, Menominee, MI 49858 | 2018-09-06 |
| 1740668565 | Eyecare Services, LLC | Voluntary or Charitable | 3400 North 10th St #73, Menominee, MI 49858 | 2015-05-13 |
| 1295043651 | Andrew John Thanos | Dentist | 1201 10th Street, Menominee, MI 49858 | 2010-09-20 |
| 1962645226 | Mack Occupational Health Services Sc | General Practice | N528 Fairland Island, Menominee, MI 49858 | 2009-04-15 |
| 1194901686 | Bonnie Susan Pulkowski | Nurse Practitioner | 1110 10th Ave Ste 101, Menominee, MI 49858 | 2008-01-14 |
| 1740383207 | Troy R Clausen | Dentist | N166 West Dr, Menominee, MI 49858 | 2006-09-07 |
| 1750483095 | George Swift Harris | Dentist | 2012 10th St, Menominee, MI 49858 | 2006-09-05 |
| 1316912397 | John Owens Beldo | Dentist | 2108 22nd Ave, Menominee, MI 49858 | 2006-02-22 |
| 1801221981 | Marci June Villeneuve | Registered Nurse | 401 10th Ave, Menominee, MI 49858 | 2013-09-09 |
| Find all providers in zip 49858 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831272574 | Lakeshore Professional Counseling Inc | Community/Behavioral Health | 447 First Street, Menominee, MI 49858-3307 | 2006-10-24 |
| 1689993800 | Spade's Counseling Agency | Community/Behavioral Health | 621 1st St, Menominee, MI 49858-3229 | 2010-05-27 |
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| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.