| Mindful Moon Mental Health Llc | |
|
8316 Holly Dr Canton MI 48187-4238 | |
| (734) 564-0019 | |
| Not Available |
| Full Name | Mindful Moon Mental Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8316 Holly Dr, Canton, Michigan |
| Authorized Official Name and Position | Staci L Hissong (OWNER/THERAPIST) |
| Authorized Official Contact | 7345640019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Moon Mental Health Llc 8316 Holly Dr Canton MI 48187-4238 Ph: (734) 564-0019 | Mindful Moon Mental Health Llc 8316 Holly Dr Canton MI 48187-4238 Ph: (734) 564-0019 |
| NPI Number | 1801602677 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801602677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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