Organization
OCTAVE BEHAVIORAL MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM EVERETT (VICE PRESIDENT, REVENUE OPERATIONS)
(650) 504-2289
Entity
Organization
Contact information
Practice address
2900 WEST RD STE 500, EAST LANSING, MI 48823-6386
(415) 360-3833
(628) 203-4304
Mailing address
625 MARKET ST FL 15, SAN FRANCISCO, CA 94105-3316
(415) 360-3833
(628) 234-3048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
03/09/2026
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