Active NPI
Healing Miracles Therapy
- Clinical Social Worker
- Roseville, MI
National Provider Identifier
1437880812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- London Wilson, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.