MEDICARE: KRYSTIN SANKEY MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401010403	MI
2	101Y00000X	Counselor	6401010403	MI
3	101YM0800X	Mental Health Counselor	6401010403

General Provider Information

NPI Number	:	1558628388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTIN SANKEY MS

Provider Business Mailing Address
First Line	:	10751 S SAGINAW ST STE D
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8169
Country	:	US
Telephone Number	:	810-777-2000
Fax Number	:	810-821-0141

Provider Business Practice Location Address
First Line	:	10751 S SAGINAW ST STE D
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-8169
Country	:	US
Telephone Number	:	810-777-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	11/13/2025

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Directions to “ KRYSTIN SANKEY MS” Practice Location

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