| Bluemind Therapy Llc | |
|
38445 Terry Ln Westland MI 48185-7657 | |
| (313) 870-7204 | |
| Not Available |
| Full Name | Bluemind Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 38445 Terry Ln, Westland, Michigan |
| Authorized Official Name and Position | Mohamed Ali Mazloum (OWNER/PRESIDENT) |
| Authorized Official Contact | 3138707204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluemind Therapy Llc 38445 Terry Ln Westland MI 48185-7657 Ph: (313) 870-7204 | Bluemind Therapy Llc 38445 Terry Ln Westland MI 48185-7657 Ph: (313) 870-7204 |
| NPI Number | 1275263055 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 08/14/2022 |
| Certification Date | 08/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275263055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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