Organization · Type 2 NPI

616 Sud Services, LLC

Addiction (Substance Use Disorder) Counselor · Wyoming, MI

NPI number 1518670710 Active

Practice location

852 47th St SW Ste 8
Wyoming, MI 49509-5104

Fax (616) 878-3211

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	None listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

NPI record

NPI: 1518670710
Entity type: Organization (Type 2)
Issued: Jan 3, 2023
Last updated: Mar 31, 2025
Status: Active

Other names

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616 Sud Services, LLC · former legal business name
616 Sud Services, LLC · former legal business name

Authorized official

Mr. Mario I. Ledesma, MS, CCJP. CADC, SAP
Clinican/owner
(616) 878-3223

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About NPI 1518670710

616 Sud Services, LLC's National Provider Identifier is 1518670710, issued on Jan 3, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wyoming, MI. The record was last updated on Mar 31, 2025.