| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ABBEY MIX | 1699363101 | 2021-01-09 |
Abbey Mix is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699363101. Registration indicates Abbey Mix is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Abbey Mix |
| Practice Office Address | 4434 HEATHER LN SE GRAND RAPIDS, MI US |
| Practice Office Telephone | 6169166838 |
| Mailing Address | 4434 HEATHER LN SE GRAND RAPIDS, MI 495462350 US |
| Business Telephone | 6169166838 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 6801090284
MI |
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 7401000506
MI |