WEST BAY MENTAL WELLNESS, PLLC (NPI# 1154884948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154884948 |
| Entity Type | Organization |
| Organization Name | WEST BAY MENTAL WELLNESS, PLLC |
| Other Organization Name | TRANSFORMED MENTAL WELLNESS |
| Practice Address |
407 S Main St Leland MI 49654-5037 |
| Mailing Address |
Po Box 7021 Traverse City MI 49696-7021 |
| Practice Telephone | 2312561167 |
| Practice Fax Number | 7042002979 |
| Mailing Telephone | 2312525810 |
| Mailing Fax Number | 7042002979 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | MS. JENNIFER LYN OVERTON (OWNER, CLINICIAN) |
| Authorized Official Telephone | 2312561167 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Leelanau Inner Wellness | Doing Business As Name - Organization |
| Transformed Mental Wellness | Doing Business As Name - Organization |
| Street Address |
407 S MAIN ST |
| City | LELAND |
| State | MI |
| Zip Code | 49654-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174725220 | Lisa H Siddall | Dentist | 407 South Main, Leland, MI 49654 | 2007-06-01 |
| 1972534469 | Township of Leland | Ambulance | 201 Grand Avenue, Leland, MI 49654-0578 | 2006-07-05 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
| 1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
| 1194349407 | Michelakis and Associates Pa | Clinic/Center | 1132 New Pointe Blvd Ste 4, Leland, NC 28451-4257 | 2020-06-02 |
| 1548880115 | S. Gibree, D.m.d., P.C. | Dentist | 3572 Leland Town Center Dr Ste 140, Leland, NC 28451-0680 | 2020-04-23 |
| 1881227080 | Leana Subrena Hall | Social Worker | 4232 M Hall Ln Ne, Leland, NC 28451-7976 | 2020-02-16 |
| 1962033381 | Alexandra Sheppard | Behavior Technician | 5078 Tradeway Dr, Leland, NC 28451-4278 | 2020-02-04 |
| 1790329423 | Jennifer Wester Griffin | Social Worker | 1116 Amber Pines Dr, Leland, NC 28451-9240 | 2019-11-06 |
| Find all providers in LELAND | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
| 1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.