Gualdoni Therapeutic & Consultative Services LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GUALDONI THERAPEUTIC & CONSULTATIVE SERVICES LLC

Practice address

8240 Embury Rd Ste 1
Grand Blanc, MI 48439-7113

Phone

(810) 691-4196

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Kay Gualdoni

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1649822776
  Medicare reassignment NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1427731967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 EMBURY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397113",
            "telephone_number": "810-691-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUALDONI THERAPEUTIC & CONSULTATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allanah Griffin
• Alyssa Karlene Griffith, MD
• Marshall Salvatore Grillo Jr., DO
• Elizabeth Grimshaw, LMSW
• Michelle Grzegorzewski, RN
• Laura Kay Gualdoni
• Rachel Leigh Guerra, APRON
• Emily Guida, LMT
• Christopher Q Guiett, LLMSW
• Akanksha Gupta, MD

• Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.