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

Northern Lakes Community Mental Health Authority

Organization Clinic/Center · NPI 1417481136

Northern Lakes Community Mental Health Authority is a Clinic/Center in Traverse City, Michigan. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

105 Hall St Ste C
Traverse City, MI 49684-2288
Phone: (231) 935-3062
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1417481136
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorthern Lakes Community Mental Health Authority
Authorized official Erica Longstreet — Chief Clinical Officer · (231) 922-4850
Other names Northern Lakes Integrated Health Clinic; Northern Lakes Integrated Health Clinic
NPI enumeratedApril 19, 2017
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address105 Hall St, Suite C, Traverse City, MI 49684-2288

Other providers in Traverse City