Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Traverse Band of Ottawa and Chippewa Indians

Organization Psychiatric/Mental Health Registered Nurse · NPI 1477227239

Grand Traverse Band of Ottawa and Chippewa Indians is a Psychiatric/Mental Health Registered Nurse in Peshawbestown, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2300 N Stallman Rd
Peshawbestown, MI 49682-9275
Phone: (231) 534-0709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X

Record details

NPI number1477227239
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrand Traverse Band of Ottawa and Chippewa Indians
Authorized official Rebecca Oien — Tribal Manager · (231) 534-7136
Other names Grand Traverse Band Behavioral Health Services
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address2605 N. West Bay Shore Dr, Peshaebestown, MI 49682-9275