Healthcare Provider Details
I. General information
NPI: 1548171739
Provider Name (Legal Business Name): OAK AND SAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
122 UPTOWN DR UNIT 204
BAY CITY MI
48708-5619
US
IV. Provider business mailing address
PO BOX 444
FREELAND MI
48623-0444
US
V. Phone/Fax
- Phone: 989-318-3356
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BROOKE
BARNHILL
Title or Position: AUTHORIZED OFFICIAL
Credential: NP
Phone: 989-318-3356