Healthcare Provider Details

I. General information

NPI: 1366015604
Provider Name (Legal Business Name): ADVANCED BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7563 PARADISE DR
GRAND BLANC MI
48439-8598
US

IV. Provider business mailing address

7563 PARADISE DR
GRAND BLANC MI
48439-8598
US

V. Phone/Fax

Practice location:
  • Phone: 810-288-3991
  • Fax: 231-225-9964
Mailing address:
  • Phone: 810-288-3991
  • Fax: 231-225-9964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HANNA BELL NEWTON
Title or Position: LMSW,OWNER
Credential: LMSW
Phone: 810-288-3991