| Michigan Psychiatric & Behavioral Assoc | |
|
690 S Trumbull St Bay City MI 48708-7692 | |
| (989) 922-4900 | |
| (989) 922-4911 |
| Full Name | Michigan Psychiatric & Behavioral Assoc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 690 S Trumbull St, Bay City, Michigan |
| Authorized Official Name and Position | Lisa M Williams (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9899224900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Psychiatric & Behavioral Assoc 690 S Trumbull St Bay City MI 48708-7692 Ph: (989) 922-4900 | Michigan Psychiatric & Behavioral Assoc 690 S Trumbull St Bay City MI 48708-7692 Ph: (989) 922-4900 |
| NPI Number | 1649581794 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649581794 | NPI | - | NPPES |
| MI055552 | Other | MI | LICENSE |
| 4318073 | Medicaid | MI | |
| 4704114058 | Other | MI | NURSE PRACTITIONER |
| 561005082 | Other | MI | PHYSICIAN'S ASSISTANT |
| 1080046 | Other | MI | NCCPA |
| 4318091 | Medicaid | MI | |
| ML073076 | Other | MI | LICENSE |
| ON34080 | Other | MI | GROUP MEDICARE |
| 4318064 | Medicaid | MI | |
| KK058857 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ON34080 (Michigan) | Primary |
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