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General NPI Number Information
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NPI Number | 1629988399
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Entity Type | Organization
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Legal Business Name | COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 812 E JOLLY RD
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City | LANSING
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State | MI
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Zip | 48910-6825
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Country | US
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Telephone | 517-346-8200
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Fax | 517-346-8291
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Provider Business Mailing Address
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Address Line | 812 E JOLLY RD. SUITE 210
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City | LANSING
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State | MI
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Zip | 48910-6818
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Country | US
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Telephone | 517-346-8200
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Fax | 517-346-8291
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | TERRI JENNESS
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Credential |
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Telephone | 517-256-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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