LARRY LIVERMORE
NPI 1013218585
Counselor - Addiction (Substance Use Disorder) in Sault Sainte Marie, MI

Active since November 15, 2010
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783(906) 632-2805(906) 632-1163 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Livermore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY LIVERMORE (NPI 1013218585) is an individual addiction (substance use disorder) provider in Sault Sainte Marie, Michigan, licensed in Michigan (1-04619) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1013218585
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY LIVERMORE
Location Address3865 S MACKINAC TRLSault Sainte Marie, MI 49783-9286
Mailing Address125 N Lake StManistique, MI 49854-1234
Fax(906) 632-1163
Sole ProprietorNo
Enumeration DateNovember 15, 2010
NPI 1013218585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MI · 1-04619
3865 S MACKINAC TRL, Sault Sainte Marie, MI 49783

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Community Health)
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Behavior Technician
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Psychiatry & Neurology (Psychiatry)
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Social Worker (Clinical)
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Social Worker
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Social Worker
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Social Worker (Clinical)
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783
Social Worker (Clinical)
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Livermore's NPI number?

The NPI number for Larry Livermore is 1013218585. It was assigned to this individual provider in the NPPES registry on November 15, 2010.

Where is Larry Livermore located?

Larry Livermore practices at 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-2805.

What is Larry Livermore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larry Livermore was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.