Blooming Minds. Pllc. | |
1001 Woodward Ave Fl 5 Detroit MI 48226-1904 | |
(313) 903-1737 | |
Not Available |
Full Name | Blooming Minds. Pllc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1001 Woodward Ave Fl 5, Detroit, Michigan |
Authorized Official Name and Position | Rascha Azakir (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 3139031737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blooming Minds. Pllc. 1001 Woodward Ave Fl 5 Detroit MI 48226-1904 Ph: (313) 903-1737 | Blooming Minds. Pllc. 1001 Woodward Ave Fl 5 Detroit MI 48226-1904 Ph: (313) 903-1737 |
NPI Number | 1295202042 |
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Provider Enumeration Date | 10/30/2018 |
Last Update Date | 10/30/2018 |
Identifier | Type | State | Issuer |
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1295202042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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