Active NPI
Healing Journey Xvi Inc
- Clinical Social Worker
- Williamston, MI
National Provider Identifier
1487018289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801016708
- Legal business name
- HEALING JOURNEY XVI INC
- Practice address
- 4549 Meridian Rd
Williamston, MI 48895-9417 - Phone
- (989) 251-4022
- NPI assigned
- Apr 7, 2016
- Last updated
- Apr 7, 2016
- 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
- Avelyn E Marshall, LMSW
- Title
- Owner
- Phone
- (517) 347-4607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801016708 | MI | Primary |
Addresses
Primary practice location
4549 Meridian Rd
Williamston, MI 48895-9417
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788
National Provider Directory
National Provider DirectoryLocations
601 W Corunna Ave
Ste D
Corunna, MI 48817
Phone (989) 251-4022
1749 Hamilton Rd
Ste 103
Okemos, MI 48864
Phone (989) 251-4022
401 E Comstock St
Owosso, MI 48867
Phone (989) 723-0044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1487018289",
"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",
"telephone_number": "517-676-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4549 MERIDIAN RD",
"city": "WILLIAMSTON",
"state": "MI",
"postal_code": "488959417",
"telephone_number": "989-251-4022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING JOURNEY XVI INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "AVELYN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-347-4607",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801016708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.