Seed of Life Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SEED OF LIFE PSYCHOTHERAPY

Practice address

113 S 13TH St
Emmaus, PA 18049-3405

Phone

(484) 274-1316

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Renee Varra-White, MSS, LCSW, LICSWNPI 1114679230

Title

Owner / Psychotherapist

Phone

(484) 274-1316

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Renee Varra-White, MSS, LCSW

  • Clinical Social Worker
  • Emmaus, PA
  • NPI 1114679230
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1649058322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S 13TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493405",
            "telephone_number": "484-274-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S 13TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180493405",
            "telephone_number": "484-274-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEED OF LIFE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "VARRA-WHITE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "484-274-1316",
        "authorized_official_credential": "MSS, LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.