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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES

MEDICARE: CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES
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
1101YM0800XMental Health Counselor250095MI

General Provider Information

NPI Number : 1801819149
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES
Provider Business Mailing Address
First Line : 901 CHIPPEWA ST
Second Line :
City : FLINT
State : MI
Zip : 48503-1552
Country : US
Telephone Number : 810-232-9950
Fax Number : 810-232-9110
Provider Business Practice Location Address
First Line : 1480 N M 52 STE 1
Second Line :
City : OWOSSO
State : MI
Zip : 48867-1025
Country : US
Telephone Number : 989-723-8239
Fax Number : 989-723-8230
Authorized Official
Title or Position : BILLING OPERATIONS MANAGER
Name : CRYSTAL HOMAN
Credential :
Telephone Number : 810-232-9950
Provider Enumeration Date : 07/26/2006
Last Update Date : 02/02/2026

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Directions to “CATHOLIC CHARITIES OF SHIAWASSEE AND GENESEE COUNTIES ” Practice Location

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