Hallers Healing Minds Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065092 Issued in MI

Legal business name

HALLERS HEALING MINDS INC

Practice address

3070 Kabobel Dr
Saginaw, MI 48604-2516

Phone

(989) 791-4191

Fax

(989) 791-4191

NPI assigned

Feb 23, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Haller, LMSW ASCWNPI 1649236274

Title

President

Phone

(989) 239-8628

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Bruce Haller, LMSW, ACSW

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1649236274
  Authorized official Same address or phone

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1225335557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 KABOBEL DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042516",
            "telephone_number": "989-791-4191",
            "fax_number": "989-791-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 KABOBEL DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042516",
            "telephone_number": "989-791-4191",
            "fax_number": "989-791-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLERS HEALING MINDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-239-8628",
        "authorized_official_credential": "LMSW ASCW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8008949790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "112622",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Velma Hall
• Abigail Haller
• Amanda Kay Haller
• Kelly Annette Haller, O.T.R.
• Thomas Bruce Haller, LMSW, ACSW
• David Thomas Halloran
• Halo Home Care LLC,
• Daniel Grant Halvorsen, LPC
• Detoya D Ham
• Ghassan N Hamadeh, MD

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.