Divine Mind Mhp Llc | |
36002 Hunter Ave Apt 11315 Westland MI 48185-6650 | |
(313) 460-4439 | |
Not Available |
Full Name | Divine Mind Mhp Llc |
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Speciality | Counselor - Mental Health |
Location | 36002 Hunter Ave Apt 11315, Westland, Michigan |
Authorized Official Name and Position | Michael Evans (CEO/FOUNDER) |
Authorized Official Contact | 3134604439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Divine Mind Mhp Llc 36002 Hunter Ave Apt 11315 Westland MI 48185-6650 Ph: (313) 460-4439 | Divine Mind Mhp Llc 36002 Hunter Ave Apt 11315 Westland MI 48185-6650 Ph: (313) 460-4439 |
NPI Number | 1932741170 |
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Provider Enumeration Date | 10/09/2019 |
Last Update Date | 07/13/2020 |
Certification Date | 07/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932741170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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