# ALPENGLOW MENTAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427924398
- **Authorized official:** SUZANNE HUBERTY MD (PHYSICIAN/PROPRIETOR)
- **Authorized official phone:** (269) 222-2109

## Contact information

- **Practice address:** 7950 MOORSBRIDGE RD STE 305, PORTAGE, MI 49024-4420
- **Practice address phone:** (269) 222-2109
- **Practice address fax:** (800) 350-5021
- **Mailing address:** 7950 MOORSBRIDGE RD STE 305, PORTAGE, MI 49024-4420
- **Mailing address phone:** (269) 222-2109
- **Mailing address fax:** (800) 350-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 12/05/2025