Healthcare Provider Details

I. General information

NPI: 1285569186
Provider Name (Legal Business Name): EMILY GERATY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 PROFESSIONAL DR
FLINT MI
48532-3636
US

IV. Provider business mailing address

6502 FENTON RD
FLINT MI
48507-4751
US

V. Phone/Fax

Practice location:
  • Phone: 800-231-1127
  • Fax:
Mailing address:
  • Phone: 810-322-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851118769
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: