Organization Active NPI

Mind Body-Eft Therapy PLLC

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1003564048
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND BODY-EFT THERAPY PLLC
Practice address
2438 Gatesboro Dr W
Saginaw, MI 48603-3769
Phone
(989) 274-4006
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gina Marie Latty, LMSW
Title
Social Worker
Phone
(989) 274-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2438 Gatesboro Dr W
Saginaw, MI 48603-3769

Mailing address

2438 Gatesboro Dr W
Saginaw, MI 48603-3769
Phone (989) 274-4006

Other names 1

  • Mind Body- EFT thearpy PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mind Body- Eft Thearpy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1003564048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 GATESBORO DR W",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033769",
            "telephone_number": "989-274-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 GATESBORO DR W",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033769",
            "telephone_number": "989-274-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY-EFT THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "LATTY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "989-274-4006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body- EFT thearpy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.