Healing Minds Behavioral Services, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING MINDS BEHAVIORAL SERVICES, LLC.

Practice address

104 W Main St
Gaylord, MI 49735-1346

Phone

(989) 448-2992

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By 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

Michelle Denise Klein, MSW, LMSWNPI 1437719028

Title

Clinical Social Worker/Owner

Phone

(989) 858-3028

Specialties & licenses 1

Addresses

Locations

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.

• Michelle D Klein, LMSW

  • Clinical Social Worker
  • Gaylord, MI
  • NPI 1437719028
  Authorized official Same address or phone

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1477193555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 SACHS DR",
            "city": "LEWISTON",
            "state": "MI",
            "postal_code": "497569320",
            "telephone_number": "989-858-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351346",
            "telephone_number": "989-448-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS BEHAVIORAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "989-858-3028",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Gaylord, MI
• Providers in Gaylord, 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 Jan 7, 2020; 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.