Healthcare Provider Details

I. General information

NPI: 1306556121
Provider Name (Legal Business Name): CINDI BORGMAN PSYCHOTHERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 SHERWOOD AVE
EAST LANSING MI
48823-1852
US

IV. Provider business mailing address

1440 SHERWOOD AVE
EAST LANSING MI
48823-1852
US

V. Phone/Fax

Practice location:
  • Phone: 517-420-7308
  • Fax: 517-323-9531
Mailing address:
  • Phone: 517-420-7308
  • Fax: 517-323-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CATHY GALLEGOS
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 517-483-2461