NPIMap

Organization Active NPI

Mi Healing Space

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1750735197
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801095863 Issued in MI
Legal business name
MI HEALING SPACE
Practice address
601 Abbot Rd
Ste 103
East Lansing, MI 48823-3366
Phone
(517) 574-4197
Fax
(517) 574-4201
NPI assigned
Apr 22, 2016
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Patricia WoodNPI 1386034239
Title
LMSW
Phone
(517) 862-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6801095863 MI Primary

Addresses

Primary practice location

601 Abbot Rd
Ste 103
East Lansing, MI 48823-3366

Mailing address

601 Abbot Rd
Ste 103
East Lansing, MI 48823-3366
Phone (517) 574-4197

National Provider Directory

National Provider Directory

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": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1750735197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ABBOT RD",
            "address_2": "STE 103",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233366",
            "telephone_number": "517-574-4197",
            "fax_number": "517-574-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ABBOT RD",
            "address_2": "STE 103",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233366",
            "telephone_number": "517-574-4197",
            "fax_number": "517-574-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI HEALING SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "517-862-2197"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.