1285373746 NPI number — THRIVING MINDS COUNSELING, PLLC

Table of content: ALICE KATE GEISMAN PHARMD (NPI 1104340660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285373746 NPI number — THRIVING MINDS COUNSELING, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THRIVING MINDS COUNSELING, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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NPI Number Information

NPI Number:
1285373746
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4295 OKEMOS RD STE 135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKEMOS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48864-6201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-358-3643
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4295 OKEMOS RD STE 135
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKEMOS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48864-6201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-358-3643
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2022

Additional Information

Authorized Official

Authorized Official Last Name:
SCHAEFFER
Authorized Official First Name:
SARAH
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
LIMITED LICENSE PSYCHOLOGIST
Authorized Official Telephone Number:
517-358-3643

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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