| Fair Minded Solutions Llc | |
|
30665 Northwestern Hwy Ste 255 Farmington Hills MI 48334-3144 | |
| (248) 802-7713 | |
| Not Available |
| Full Name | Fair Minded Solutions Llc |
|---|---|
| Speciality | Psychologist |
| Location | 30665 Northwestern Hwy Ste 255, Farmington Hills, Michigan |
| Authorized Official Name and Position | Kenneth Edward Gardner (PSYCHOLOGIST) |
| Authorized Official Contact | 2488027713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Minded Solutions Llc 9132 W Walden Dr Van Buren Twp MI 48111-2692 Ph: (248) 802-7713 | Fair Minded Solutions Llc 30665 Northwestern Hwy Ste 255 Farmington Hills MI 48334-3144 Ph: (248) 802-7713 |
| NPI Number | 1295295475 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 1153662432 |
|---|---|
| Medicare Enrollment ID | O20190415002063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295295475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth E Gardner |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1821559576 PECOS PAC ID: 3173865474 Enrollment ID: I20190508000092 |
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