Provider Demographics
NPI:1578312757
Name:VALENTINE, SKYANNE MARIE
Entity type:Individual
Prefix:
First Name:SKYANNE
Middle Name:MARIE
Last Name:VALENTINE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CHESANING
Mailing Address - State:MI
Mailing Address - Zip Code:48616-1252
Mailing Address - Country:US
Mailing Address - Phone:989-323-2090
Mailing Address - Fax:
Practice Address - Street 1:202 PINE ST
Practice Address - Street 2:
Practice Address - City:CHESANING
Practice Address - State:MI
Practice Address - Zip Code:48616
Practice Address - Country:US
Practice Address - Phone:989-323-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-18
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician