MALLORY GODIN (NPI# 1487126595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487126595 |
| Entity Type | Individual |
| Full Name | MALLORY GODIN |
| Practice Address |
14509 Boichot Rd Lansing MI 48906 |
| Mailing Address |
14509 Boichot Rd Lansing MI 48906-1095 |
| Practice Telephone | 9892390870 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401018036 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 6401018036 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3361 36th St Se, Grand Rapids, MI 495122809 | 9892390870 |
| Street Address |
14509 BOICHOT RD |
| City | LANSING |
| State | MI |
| Zip Code | 48906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404272 | Balanced Restoration Services, LLC | Clinic/Center | 14509 Boichot Rd, Lansing, MI 48906-1095 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133654 | Derrick Ray Lewis II | Technician | 3209 Trillium Drive, Lansing, MI 48906 | 2017-09-27 |
| 1497184329 | Michelle Ann Munson-mccorry | Registered Nurse | 1108 Ballard, Lansing, MI 48906 | 2013-11-01 |
| 1497190961 | Guided Choices | Registered Nurse | 2812 N Martin Luther King Jr Blvd, Lansing, MI 48906 | 2013-05-09 |
| 1154665677 | Agape Chiro Med of Michigan, LLC | Chiropractor | 1029 E Saginaw Street, Lansing, MI 48906 | 2012-11-21 |
| 1306143771 | Wayne County Physical Therapy, LLC | Clinic/Center | 1029 E Saginaw, Lansing, MI 48906 | 2011-02-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| 1922173103 | Linda Sue Hughes | Nurse Practitioner | 1717 N. High Street, Lansing, MI 48906 | 2006-11-22 |
| 1124102207 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 1035 Mak-tech Drive, Lansing, MI 48906 | 2006-10-25 |
| 1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
| 1346278694 | David N Grimshaw | Neuromusculoskeletal Medicine & OMM | 1106 N Cedar St., Suite 200b, Lansing, MI 48906 | 2006-06-28 |
| Find all providers in zip 48906 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597943 | Latoya Sevier | Counselor | 2855 192nd St, Lansing, IL 60438-3717 | 2020-08-03 |
| 1689293268 | Lotus Life Counseling LLC | Counselor | 1106 N Cedar St Ste 200b, Lansing, MI 48906-5334 | 2020-04-13 |
| 1427603687 | Peace & Harmony Counseling Services, LLC | Counselor | 1100 W Saginaw St Ste 3c, Lansing, MI 48915-2033 | 2019-08-05 |
| 1578115812 | Allysa Pennington | Counselor | 812 E Jolly Rd Ste 211, Lansing, MI 48910-6821 | 2019-07-16 |
| 1669939815 | Key Concepts Counseling and Consulting | Counselor | 2517 E Mount Hope Ave Ste 12, Lansing, MI 48910-1924 | 2019-02-25 |
| 1134690662 | Professional Counselors of Lansing LLC | Counselor | 913 W Holmes Rd Ste 139, Lansing, MI 48910-0436 | 2018-12-10 |
| 1245709948 | Mallori Mangus-hayden | Counselor | 936 W Edgewood Boulevarde # 170, Lansing, MI 48911-5582 | 2018-11-26 |
| 1699259556 | Shelton Rehabilitation Consulting, LLC | Counselor | 1032 N Capitol Ave, Lansing, MI 48906-4823 | 2018-09-17 |
| 1437652211 | Lauren Elizabeth Whaley | Counselor | 1112 Berten St, Lansing, MI 48910-1214 | 2018-03-17 |
| 1376072355 | Timyra Curry | Counselor | 3960 Patient Care Dr Ste 104, Lansing, MI 48911-4276 | 2017-06-05 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.