Walloon Lake Recovery Lodge, Llc
Non-emergency Medical Transport (VAN) in Boyne Falls, Michigan
NPI 1750791505
Walloon Lake Recovery Lodge, Llc is a Non-emergency Medical Transport (VAN) based in Boyne Falls, MI. Walloon Lake Recovery Lodge, Llc practices in Boyne Falls, MI. The NPI Number for Walloon Lake Recovery Lodge, Llc is 1750791505 and holds a License No. (Michigan).
The current practice location address for Walloon Lake Recovery Lodge, Llc is 2329 Center St, Boyne Falls, MI and can be reached out via phone at 231-535-2822 and via fax at 231-535-2372.
Location: 2329 Center St, Boyne Falls, MI, 49713-9268
Provider Profile Details
NPI Number
1750791505
Provider Name
Walloon Lake Recovery Lodge, Llc
Credential
Provider Entity Type
Organization
Address
2329 Center St, Boyne Falls, MI, 49713-9268
Phone Number
231-535-2822
Fax Number
231-535-2372
Provider Enumeration Date
05/02/2014
Last Update Date
04/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0150024 | 01 | MI | LARA LICENSE |
| SA0690033 | 01 | MI | LARA LICENSE |
| SA0240041 | 01 | MI | LARA LICENSE |
| 5801000334 | 01 | MI | TRANSPORTATION |
| SA0150031 | 01 | MI | LARA LICENSE |
Provider Business Practice Location Address Details
Address
2329 Center St
City
State
Zip
49713-9268
Phone Number
231-535-2822
Fax Number
231-535-2372
Provider Business Mailing Address Details
Address
2329 Center St
City
State
Zip
49713-9268
Phone Number
231-535-2822
Fax Number
231-535-2372
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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