| Mindmend | |
|
935 N Washington Ave Lansing MI 48906-5137 | |
| (989) 506-9025 | |
| (989) 779-2922 |
| Full Name | Mindmend |
|---|---|
| Speciality | Counselor - Professional |
| Location | 935 N Washington Ave, Lansing, Michigan |
| Authorized Official Name and Position | Courtney B Frost (OWNER) |
| Authorized Official Contact | 9895069025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindmend 935 N Washington Ave Lansing MI 48906-5137 Ph: (989) 506-9025 | Mindmend 935 N Washington Ave Lansing MI 48906-5137 Ph: (989) 506-9025 |
| NPI Number | 1902398233 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902398233 | NPI | - | NPPES |
| 1588935811 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401008490 (Michigan) | Primary |
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