Organization Active NPI

Healing Miracles Therapy

  • Clinical Social Worker
  • Roseville, MI
National Provider Identifier
1437880812
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING MIRACLES THERAPY
Practice address
18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989
Phone
(313) 445-6920
Fax
(586) 204-0379
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
London Wilson, LMSWNPI 1790236263
Title
Clinical Social Worker
Phone
(313) 445-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989

Mailing address

30550 Gratiot Ave Unit 66069
Roseville, MI 48066-6731
Phone (313) 445-6920

National Provider Directory

National Provider Directory

Locations

30550 Gratiot Ave
Unit 66069
Roseville, MI 48066
Phone (313) 445-6920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1437880812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 GRATIOT AVE UNIT 66069",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666731",
            "telephone_number": "313-445-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "313-445-6920",
            "fax_number": "586-204-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIRACLES THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LONDON",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "313-445-6920",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.