| Advanced Behavioral Health Llc | |
|
4521 Trapani Ln Swartz Creek MI 48473-8832 | |
| (810) 288-3991 | |
| (231) 225-9964 |
| Full Name | Advanced Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4521 Trapani Ln, Swartz Creek, Michigan |
| Authorized Official Name and Position | Hanna Bell Newton (LMSW,OWNER) |
| Authorized Official Contact | 8102883991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health Llc 4521 Trapani Ln Swartz Creek MI 48473-8832 Ph: (810) 288-3991 | Advanced Behavioral Health Llc 4521 Trapani Ln Swartz Creek MI 48473-8832 Ph: (810) 288-3991 |
| NPI Number | 1366015604 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 9436500535 |
|---|---|
| Medicare Enrollment ID | O20240112000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366015604 | NPI | - | NPPES |
| 1205934965 | Other | MI | BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Karen A Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205934965 PECOS PAC ID: 6406821081 Enrollment ID: I20040827000376 |
| Provider Name | Julie J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487224820 PECOS PAC ID: 9335542620 Enrollment ID: I20210723002311 |
| Provider Name | Hanna Bell Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467088187 PECOS PAC ID: 0840694550 Enrollment ID: I20210803001429 |
| Provider Name | Christopher Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437644945 PECOS PAC ID: 6204364243 Enrollment ID: I20250103002833 |
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