Healthcare Provider Details

I. General information

NPI: 1144911868
Provider Name (Legal Business Name): TINA SALADINE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S CRAPO ST STE 200
MT PLEASANT MI
48858-2941
US

IV. Provider business mailing address

1942 N HOPE RD
MIDLAND MI
48642-7935
US

V. Phone/Fax

Practice location:
  • Phone: 989-330-7447
  • Fax:
Mailing address:
  • Phone: 989-948-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801122935
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: