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General NPI Number Information
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NPI Number | 1063344869
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Entity Type | Organization
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Legal Business Name | NORTHERN EMBERS MENTAL HEALTH LLC.
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 4020 COPPER VW STE 104F
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-7041
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Country | US
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Telephone | 231-714-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 COPPER VW STE 104
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-7041
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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 | PSYCHIATRIST
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Name | ANDREW RIEGEL
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Credential | DO
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Telephone | 248-274-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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