Organization
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Active
Other names
Shiawassee Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA STEPHEN (FINANCIAL SERVICES SUPERVISOR)
(989) 723-0732
Entity
Organization
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
(989) 725-5061
Mailing address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
(989) 725-5061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G86005
BCBS
MI
01
—
0G86087
BCBS
MI
01
—
105813
VALUE OPTIONS
—
05
—
774351238
—
MI
01
—
P10G81020
BCBS
MI
Enumeration date
09/07/2005
Last updated
01/18/2018
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