| Mind And Soul Llc | |
|
20220 Mitchell St Detroit MI 48234-1577 | |
| (586) 804-7685 | |
| Not Available |
| Full Name | Mind And Soul Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 20220 Mitchell St, Detroit, Michigan |
| Authorized Official Name and Position | Kymberly M Cunningham (OWNER/THERAPIST) |
| Authorized Official Contact | 5868047685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Soul Llc 20220 Mitchell St Detroit MI 48234-1577 Ph: (586) 804-7685 | Mind And Soul Llc 20220 Mitchell St Detroit MI 48234-1577 Ph: (586) 804-7685 |
| NPI Number | 1760004865 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760004865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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