HICKORY HOLLOW SPECIALIZED RESIDENTIAL
NPI 1801763750
Clinic/Center - Mental Health (Including Community Mental Health Center) in Flint, MI

Active since October 23, 2025
6500 HICKORY HOLLOW CT, FLINT, MI 48532(833) 478-9464 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hickory Hollow Specialized Residential NPPES

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

HICKORY HOLLOW SPECIALIZED RESIDENTIAL (NPI 1801763750) is a healthcare organization registered as a mental health (including community mental health center) in Flint, Michigan and active in the NPI registry since October 2025. The organization lists Gaven Bertram, Licensee/designee, as its authorized official.

NPPES Registry Identity

NPI1801763750
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHICKORY HOLLOW SPECIALIZED RESIDENTIAL
Location Address6500 HICKORY HOLLOW CTFlint, MI 48532-2055
Mailing Address3060 S Dye RdFlint, MI 48507-1078 · (833) 478-9464
Organization SubpartNo
Authorized OfficialGaven BertramLicensee/designee · (833) 478-9464
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1801763750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
6500 HICKORY HOLLOW CT, Flint, MI 48532

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.

Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532
Community Health Worker
6500 HICKORY HOLLOW CT
FLINT, MI 48532

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 Hickory Hollow Specialized Residential's NPI number?

The NPI number for Hickory Hollow Specialized Residential is 1801763750. It was assigned to this organization in the NPPES registry on October 23, 2025.

Where is Hickory Hollow Specialized Residential located?

Hickory Hollow Specialized Residential is located at 6500 Hickory Hollow Ct, Flint, MI 48532. The listed phone number is (833) 478-9464.

What is Hickory Hollow Specialized Residential's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Hickory Hollow Specialized Residential was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.