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SPACIOUS AWARENESS LLC
NPI 1194531350
Community/Behavioral Health in Gaylord, MI

Active since December 03, 2024
9960 LYNN LAKE RD, GAYLORD, MI 49735(440) 382-7179 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Dec 4, 2024 (2 updates tracked since 2024).

About Spacious Awareness Llc NPPES

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

SPACIOUS AWARENESS LLC (NPI 1194531350) is a healthcare organization registered as a community/behavioral health in Gaylord, Michigan and active in the NPI registry since December 2024. The organization lists Samantha Rae Bailo, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1194531350
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSPACIOUS AWARENESS LLC
Location Address9960 LYNN LAKE RDGaylord, MI 49735-8886
Mailing Address9960 Lynn Lake RdGaylord, MI 49735-8886 · (440) 382-7179
Phone(440) 382-7179
Organization SubpartNo
Authorized OfficialSamantha Rae BailoOwner/operator · (440) 382-7179
Enumeration DateDecember 3, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1194531350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9960 LYNN LAKE RD, Gaylord, MI 49735
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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 Spacious Awareness LLC's NPI number?

The NPI number for Spacious Awareness LLC is 1194531350. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Spacious Awareness LLC located?

Spacious Awareness LLC is located at 9960 Lynn Lake Rd, Gaylord, MI 49735. The listed phone number is (440) 382-7179.

What is Spacious Awareness LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Spacious Awareness LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.