# 616 SUD SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 616 SUD Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518670710
- **Authorized official:** MR. MARIO I. LEDESMA MS, CCJP. CADC, SAP (CLINICAN/OWNER)
- **Authorized official phone:** (616) 878-3223

## Contact information

- **Practice address:** 852 47TH ST SW STE 8, WYOMING, MI 49509-5104
- **Practice address phone:** (616) 878-3223
- **Practice address fax:** (616) 878-3211
- **Mailing address:** 852 47TH ST SW STE 8, WYOMING, MI 49509-5104
- **Mailing address phone:** (616) 878-3223
- **Mailing address fax:** (616) 878-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 03/31/2025