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

Port Huron Counseling Behavioral Specialist

Organization Psychiatry Physician · NPI 1912142035

Port Huron Counseling Behavioral Specialist is a Psychiatry Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

309 McMorran Blvd
Port Huron, MI 48060-3807
Phone: (810) 488-7974
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301055449 (MI)

Record details

NPI number1912142035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Taglione — Billing Co · (734) 414-0754
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address42928 Versailles Rd, Canton, MI 48187-2344

Other providers in Port Huron