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Search › Michigan › 172V00000X

Gina Bass-Maddox

NPI 1801387857 · on the registry since 2018

Practice

Address
3111 Electric Ave
Port Huron, MI 48060
Phone
(810) 985-8900
Organisation at this address
Genoa Healthcare Llc
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority
St Clair County Community Mental Health Authority - Sud Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
414

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
372600000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan