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Organization

OCTAVE BEHAVIORAL MICHIGAN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYM EVERETT (VP, REVENUE OPERATIONS)
(415) 360-3833
Entity
Organization

Contact information

Practice address
2 SUN CT STE 400, PEACHTREE CORNERS, GA 30092-2865
(415) 360-3833
(628) 234-3048
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
04/15/2024
Last updated
06/26/2025
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