# NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
- **Other names:** Northern Health Care Management
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508967068
- **Legal business name:** NORTHERN LAKES COMMUNITY MENTAL HEALTH AUTHORITY
- **Authorized official:** ERICA LONGSTREET (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (231) 922-4850

## Contact information

- **Practice address:** 105 HALL STREET, SUITE D, TRAVERSE CITY, MI 49684
- **Practice address phone:** (231) 922-4850
- **Practice address fax:** (231) 935-4164
- **Mailing address:** 105 HALL STREET, SUITE D, TRAVERSE CITY, MI 49684
- **Mailing address phone:** (231) 922-4850
- **Mailing address fax:** (231) 935-4164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 77 4508846 | — | MI |