| Mind Body-eft Therapy Pllc | |
|
2438 Gatesboro Dr W Saginaw MI 48603-3769 | |
| (989) 274-4006 | |
| Not Available |
| Full Name | Mind Body-eft Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2438 Gatesboro Dr W, Saginaw, Michigan |
| Authorized Official Name and Position | Gina Marie Latty (SOCIAL WORKER) |
| Authorized Official Contact | 9892744006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body-eft Therapy Pllc 2438 Gatesboro Dr W Saginaw MI 48603-3769 Ph: (989) 274-4006 | Mind Body-eft Therapy Pllc 2438 Gatesboro Dr W Saginaw MI 48603-3769 Ph: (989) 274-4006 |
| NPI Number | 1033873559 |
|---|---|
| Provider Enumeration Date | 10/30/2021 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 6901293067 |
|---|---|
| Medicare Enrollment ID | O20220420002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033873559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gina M Latty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639516156 PECOS PAC ID: 6002057304 Enrollment ID: I20130730000223 |
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