Active NPI
Mind Body-Eft Therapy PLLC
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1003564048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider Directory- Tax ID family
- Mind Body- Eft Thearpy PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Saginaw, MI
- NPI 1336897768
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.