Basic Information
| Provider Information | |||||||||
| NPI: | 1619250990 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAGHY | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | STEPHEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 590 LIMEWOOD DR APT F | ||||||||
| Address2: | |||||||||
| City: | BATTLE CREEK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490174560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344446656 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5500 ARMSTRONG RD | ||||||||
| Address2: | |||||||||
| City: | BATTLE CREEK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490377314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2699665600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2011 | ||||||||
| LastUpdateDate: | 02/10/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | N | Behavioral Health & Social Service Providers | Counselor | 1041C0700X | 6801096629 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.