| Extraordinary Minds Therapy Practice, Pllc | |
|
21 Kercheval Ave Ste 370 Grosse Pointe Farms MI 48236-3647 | |
| (313) 969-0196 | |
| Not Available |
| Full Name | Extraordinary Minds Therapy Practice, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21 Kercheval Ave Ste 370, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Arianna M Zimmerman (CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 3139690196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extraordinary Minds Therapy Practice, Pllc 21 Kercheval Ave Ste 370 Grosse Pointe Farms MI 48236-3647 Ph: (313) 969-0196 | Extraordinary Minds Therapy Practice, Pllc 21 Kercheval Ave Ste 370 Grosse Pointe Farms MI 48236-3647 Ph: (313) 969-0196 |
| NPI Number | 1568278992 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568278992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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