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NPI Code Detail

MEDICARE: BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

MEDICARE: BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
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
11041C0700XClinical Social Worker
2101YA0400XAddiction (Substance Use Disorder) Counselor080015MI
3103T00000XPsychologist
4103TB0200XCognitive & Behavioral Psychologist
52084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110520OTHERMIBCBS OPC PROVIDER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952357410
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Provider Business Mailing Address
First Line : 500 BARFIELD DR
Second Line :
City : HASTINGS
State : MI
Zip : 49058-9018
Country : US
Telephone Number : 269-948-8041
Fax Number : 269-948-9319
Provider Business Practice Location Address
First Line : 500 BARFIELD DR
Second Line :
City : HASTINGS
State : MI
Zip : 49058-9018
Country : US
Telephone Number : 269-948-8041
Fax Number : 269-948-9319
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. RICH THIEMKEY
Credential :
Telephone Number : 269-948-8041
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/23/2024

Similar Medicare Providers

1477309334 — ISABELA ANN MARTINEZ LLMSW
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax: 269-948-9319
1730859547 — HANNAH KOHN
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax: 269-948-9319
1316871999 — ERICKA CRITZER
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax: 269-948-9319
1437111937 — DR. ALMARIO M GARAZA MD
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax: 269-948-3916
1366486961 — DR. BARBARA ANDREA DIAZ HERNANDEZ MD
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax:
1144383829 — MS. BEVERLY J. WOOD
Practice Location Address:
500 BARFIELD DR
HASTINGS, MI
49058-9018
Practice Phone: 269-948-8041
Practice Fax: 269-948-3916

Directions to “BARRY COUNTY COMMUNITY MENTAL HEALTH AUTHORITY ” Practice Location

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