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Organization
HALLERS HEALING MINDS INC
Active
Organization
HALLERS HEALING MINDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HALLER LMSW ASCW (PRESIDENT)
(989) 239-8628
Entity
Organization
Contact information
Practice address
3070 KABOBEL DR, SAGINAW, MI 48604-2516
(989) 791-4191
(989) 791-4191
Mailing address
3070 KABOBEL DR, SAGINAW, MI 48604-2516
(989) 791-4191
(989) 791-4191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065092
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112622
VALUE OPTIONS
MI
01
—
8008949790
BLUE CROSS
MI
Enumeration date
02/23/2011
Last updated
03/31/2011
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