Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Other names
Behavioral Health Program
Organization subpart
No
Provider details
NPI number
Authorized official
LACIE KELLY (BUSINESS SERVICES MANAGER)
(989) 775-4850
Entity
Organization
Contact information
Practice address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
(989) 775-4850
(989) 775-4851
Mailing address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
(989) 775-4850
(989) 775-4851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
370007
MI
324500000X
Substance Abuse Rehabilitation Facility
370007
MI
Other
Enumeration date
03/15/2007
Last updated
02/05/2026
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