Organization · Type 2 NPI

ST Clair County Community Mental Health Authority

Mental Health Clinic/Center (Including Community Mental Health Center) · Port Huron, MI

NPI number 1104670876 Active

Practice location

2415 24th St
Port Huron, MI 48060-6414

Call (810) 488-8840 Map

Fax (810) 966-3393

Mailing address

3111 Electric Ave
Port Huron, MI 48060-8127

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

22 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Port Huron

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NPI record

NPI: 1104670876
Entity type: Organization (Type 2)
Issued: Apr 17, 2024
Last updated: Jun 12, 2025
Status: Active
Subpart: Yes of ST Clair County Community Mental Health Authority

Other names

<unavail>
Child and Family Services · other name
Child and Family Services · other name

Authorized official

Debra B Johnson
Executive Director
(810) 985-8900

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104670876

ST Clair County Community Mental Health Authority's National Provider Identifier is 1104670876, issued on Apr 17, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Port Huron, MI. The record was last updated on Jun 12, 2025.