| Doctor Name: | MICHAEL GARRISON |
| NPI Number: | 1487029690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 68/01097735 |
| Business Practice Address: | 1159 W. Harris Ave. Tawas City, MI - 48763 |
| Business Phone Number: | 9893628636 |
| Business Fax Number: | 9893627800 |
| Mailing Address: | 1159 W. Harris Ave., Po Box 310 TAWAS CITY |
| State: | MI |
| Postal Code: | 48763 |
| Phone Number: | 9893628636 |
| Fax Number: | 9893627800 |
| NPI Enumeration Date: | 12/14/2015 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 68/01097735 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |