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GREATER LAKES BEHAVIORAL HEALTH SERVICES LLC
NPI 1932816923
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portage, IN

Active since October 31, 2022
3141 WILLOWCREEK RD UNIT L3, PORTAGE, IN 46368(219) 706-3898(219) 706-3899 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Oct 31, 2022 (2 updates tracked since 2022).

About Greater Lakes Behavioral Health Services Llc NPPES

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

GREATER LAKES BEHAVIORAL HEALTH SERVICES LLC (NPI 1932816923) is a healthcare organization registered as a mental health (including community mental health center) in Portage, Indiana and active in the NPI registry since October 2022. The organization lists Roshanda Grayson-thomas, Manager, as its authorized official.

NPPES Registry Identity

NPI1932816923
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGREATER LAKES BEHAVIORAL HEALTH SERVICES LLC
Location Address3141 WILLOWCREEK RD UNIT L3Portage, IN 46368-4468
Mailing Address6212 Us Highway 6 # 147Portage, IN 46368-5057 · (219) 331-8063
Phone(219) 706-3898
Fax(219) 706-3899
Organization SubpartNo
Authorized OfficialRoshanda Grayson-thomasManager · (219) 706-3898
Enumeration DateOctober 31, 2022
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1932816923 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
3141 WILLOWCREEK RD UNIT L3, Portage, IN 46368
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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 Greater Lakes Behavioral Health Services LLC's NPI number?

The NPI number for Greater Lakes Behavioral Health Services LLC is 1932816923. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Greater Lakes Behavioral Health Services LLC located?

Greater Lakes Behavioral Health Services LLC is located at 3141 Willowcreek Rd Unit L3, Portage, IN 46368. The listed phone number is (219) 706-3898.

What is Greater Lakes Behavioral Health Services LLC'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 Greater Lakes Behavioral Health Services LLC was last updated on March 20, 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.