Healthcare Provider Details

I. General information

NPI: 1649198490
Provider Name (Legal Business Name): SUNDIAL MIND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 N 1ST ST
HARRISON MI
48625-7726
US

IV. Provider business mailing address

913 S SAGINAW RD STE 109
MIDLAND MI
48640-4602
US

V. Phone/Fax

Practice location:
  • Phone: 989-600-3236
  • Fax:
Mailing address:
  • Phone: 989-600-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KARI NICOLE DIEDERICH
Title or Position: MANAGING MEMBER
Credential: CRNA, PMHNP-BC
Phone: 989-600-3236