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NPI Code Detail

MEDICARE: MRS. SUSAN GAYLE HOOD LLMSW, CAAC

MEDICARE: MRS. SUSAN GAYLE HOOD LLMSW, CAAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor6801087497MI

General Provider Information

NPI Number : 1568764819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN GAYLE HOOD LLMSW, CAAC
Provider Business Mailing Address
First Line : 940 E 8TH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-2893
Country : US
Telephone Number : 231-922-4810
Fax Number : 231-922-4884
Provider Business Practice Location Address
First Line : 940 E 8TH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-2893
Country : US
Telephone Number : 231-922-4810
Fax Number : 231-922-4884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2010
Last Update Date : 11/18/2010

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Directions to “ MRS. SUSAN GAYLE HOOD LLMSW, CAAC” Practice Location

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