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General NPI Number Information
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NPI Number | 1033018346
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Entity Type | Organization
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Legal Business Name | OKEMOS BEHAVIORAL HEALTH, PC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1881 W GRAND RIVER AVE
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City | OKEMOS
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State | MI
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Zip | 48864-1840
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Country | US
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Telephone | 517-339-2116
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Fax |
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Provider Business Mailing Address
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Address Line | 1881 W GRAND RIVER AVE
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City | OKEMOS
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State | MI
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Zip | 48864-1840
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH BRANNICK
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Credential | PA-C
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Telephone | 517-250-6652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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