GREAT LAKES INTEGRATIVE WELLNESS
NPI 1679262893
Clinic/Center - Primary Care in Norton Shores, MI
About Great Lakes Integrative Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES INTEGRATIVE WELLNESS (NPI 1679262893) is a healthcare organization registered as a primary care in Norton Shores, Michigan and active in the NPI registry since May 2023. The organization lists Darci Samuel, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Great Lakes Integrative Wellness's NPI number?
The NPI number for Great Lakes Integrative Wellness is 1679262893. It was assigned to this organization in the NPPES registry on May 3, 2023.
Where is Great Lakes Integrative Wellness located?
Great Lakes Integrative Wellness is located at 2177 Forest Park Rd, Norton Shores, MI 49441. The listed phone number is (269) 286-2025.
What is Great Lakes Integrative Wellness's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Great Lakes Integrative Wellness was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Great Lakes Integrative Wellness · NPI 1679262893
Primary Care organization in Norton Shores, Michigan. Organization record, active in the CMS NPPES registry since May 3, 2023.
## Identity
- **NPI:** 1679262893 (Entity type: Organization)
- **Enumerated:** May 3, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Darci Samuel, FOUNDER
## Practice location
- **Address:** 2177 FOREST PARK RD, Norton Shores, MI 49441-4517
- **Phone:** (269) 286-2025
## Record status
- **NPPES last updated:** May 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1679262893) · Data from the CMS NPPES public registry.