Provider Demographics
NPI:1124652938
Name:HUMAN KINDNESS TRAUMA PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:HUMAN KINDNESS TRAUMA PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GINTHER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-720-9833
Mailing Address - Street 1:1710 E 12 MILE RD STE C
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-4200
Mailing Address - Country:US
Mailing Address - Phone:248-720-9833
Mailing Address - Fax:
Practice Address - Street 1:1710 E 12 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-4200
Practice Address - Country:US
Practice Address - Phone:248-720-9833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty