| Spacious Awareness Llc | |
|
9960 Lynn Lake Rd Gaylord MI 49735-8886 | |
| (440) 382-7179 | |
| Not Available |
| Full Name | Spacious Awareness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9960 Lynn Lake Rd, Gaylord, Michigan |
| Authorized Official Name and Position | Samantha Rae Bailo (OWNER/OPERATOR) |
| Authorized Official Contact | 4403827179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spacious Awareness Llc 9960 Lynn Lake Rd Gaylord MI 49735-8886 Ph: (440) 382-7179 | Spacious Awareness Llc 9960 Lynn Lake Rd Gaylord MI 49735-8886 Ph: (440) 382-7179 |
| NPI Number | 1194531350 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194531350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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