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Contact Information

SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC
5390 LOVERS LN
THIRD FLOOR
PORTAGE, MI49002
 Phone: 269-381-6950
 Fax: 269-381-6954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC

NPI # 1114219227
LBN Legal business name SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC
Authorized official RUQIYA TAREEN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2011
Last updated 02/16/2016 - About 10 years ago
Identifiers
MI License # 4301078095
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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