Psychological Wellness and Healing

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801091741 Issued in MI

Legal business name

PSYCHOLOGICAL WELLNESS AND HEALING

Practice address

3503 Greenleaf Blvd Ste 202
Kalamazoo, MI 49008-2580

Phone

(269) 873-8060

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Richards, LMSW

Title

Psychotherapist/Owner

Phone

(269) 873-8060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1154762490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19163",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490190163",
            "telephone_number": "269-873-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 GREENLEAF BLVD STE 202",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082580",
            "telephone_number": "269-873-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL WELLNESS AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "269-873-8060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryel Pruitt, LMT
• Brandy Pryor
• Jennifer Pryor, MD
• Matthew Ryan Pryor, MD
• Psychological Transformations PLLC
• PT 2 U, LLC
• Vanessa Pueblo
• Usha Rani Pugazhendhi
• Helena Puhalj, P.A.-C
• Pulmonary & Sleep Medicine Associates PC

• Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.