Healthcare Provider Details

I. General information

NPI: 1194606095
Provider Name (Legal Business Name): LDMAX HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W MICHIGAN AVE STE D
BATTLE CREEK MI
49015
US

IV. Provider business mailing address

93 SUNNYSIDE DR
BATTLE CREEK MI
49015-3154
US

V. Phone/Fax

Practice location:
  • Phone: 231-739-9315
  • Fax: 269-969-1989
Mailing address:
  • Phone: 517-256-8298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ODELL
Title or Position: BILLING SPECIALIST
Credential:
Phone: 248-462-0684