| Mindful Results Counseling Center | |
|
31275 Northwestern Hwy Ste 150 Farmington Hills MI 48334-2584 | |
| (248) 716-3770 | |
| Not Available |
| Full Name | Mindful Results Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 31275 Northwestern Hwy Ste 150, Farmington Hills, Michigan |
| Authorized Official Name and Position | Kathleen M Boyes (SOLE MEMBER) |
| Authorized Official Contact | 2487163770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Results Counseling Center 31275 Northwestern Hwy Ste 150 Farmington Hills MI 48334-2584 Ph: (248) 716-3770 | Mindful Results Counseling Center 31275 Northwestern Hwy Ste 150 Farmington Hills MI 48334-2584 Ph: (248) 716-3770 |
| NPI Number | 1114550035 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Medicare PECOS PAC ID | 6002285913 |
|---|---|
| Medicare Enrollment ID | O20221216000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114550035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tamara L Tracy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003060278 PECOS PAC ID: 2365755733 Enrollment ID: I20150715000688 |
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