Healthcare Provider Details

I. General information

NPI: 1528981420
Provider Name (Legal Business Name): FTS, L3C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 N VAN DYKE RD
BAD AXE MI
48413-9016
US

IV. Provider business mailing address

1796 VAN DYKE RD
DECKER MI
48426-9725
US

V. Phone/Fax

Practice location:
  • Phone: 989-325-0744
  • Fax:
Mailing address:
  • Phone: 989-325-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: VICKY LYNN STEPHENSON
Title or Position: OWNER
Credential: BS, LBSW QIDP/QMHP
Phone: 989-325-0744