Healthcare Provider Details

I. General information

NPI: 1659717247
Provider Name (Legal Business Name): BIO-MED BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 GILBERT ST
FLINT MI
48532-3527
US

IV. Provider business mailing address

31581 GRATIOT AVE
ROSEVILLE MI
48066-4528
US

V. Phone/Fax

Practice location:
  • Phone: 810-422-9406
  • Fax: 810-410-4678
Mailing address:
  • Phone: 586-783-4802
  • Fax: 586-218-6602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number500343
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number500343
License Number StateMI

VIII. Authorized Official

Name: SEAN MCCARROLL
Title or Position: CEO
Credential:
Phone: 586-783-4802