Organization
JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
Active
Other names
LIFEWAYS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIBETH LEONARD (CHIEF EXECUTIVE OFFICER)
(517) 789-1208
Entity
Organization
Contact information
Practice address
1200 N. WEST AVENUE, JACKSON, MI 49202
(517) 789-1209
(517) 796-4532
Mailing address
1200 N. WEST AVENUE, JACKSON, MI 49202
(517) 780-3332
(517) 796-4532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C87612
MEDICARE ID
MI
05
—
1712229
—
MI
05
—
171229
—
MI
Enumeration date
06/07/2010
Last updated
07/17/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up