Organization Active NPI

Pro Therapy Center, PLLC

Doing business as Grace Gates

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1710578604
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRO THERAPY CENTER, PLLC
Doing business as
Grace Gates
Grace Johnson
Practice address
20222 Farmington Rd
Livonia, MI 48152-1412
Phone
(734) 331-0040
NPI assigned
Feb 2, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Grace Gates, LMSW, LCSWNPI 1639620313
Title
Owner
Phone
(631) 942-0031

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 Worker 1041C0700X Primary

Addresses

Primary practice location

20222 Farmington Rd
Livonia, MI 48152-1412

Mailing address

PO Box 531302
Livonia, MI 48153-1302

Other practice location 1

22710 Haggerty Rd
Farmington Hills, MI 48335-2640
Phone (734) 331-0040

Other names 2

  • Grace Gates Doing business as
  • Grace Johnson Doing business as

National Provider Directory

National Provider Directory

Locations

22710 Haggerty Rd
Farmington Hills, MI 48335
Phone (734) 331-0040

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1710578604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531302",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481531302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20222 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521412",
            "telephone_number": "734-331-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22710 Haggerty Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483352640",
            "country_code": "US",
            "telephone_number": "734-331-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-942-0031",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Gates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Johnson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.