| New State Of Mind Llc | |
|
2836 W Jefferson Ave Trenton MI 48183-2902 | |
| (734) 250-4544 | |
| (734) 818-1445 |
| Full Name | New State Of Mind Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2836 W Jefferson Ave, Trenton, Michigan |
| Authorized Official Name and Position | Kate Lafayette (OWNER) |
| Authorized Official Contact | 7342504544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New State Of Mind Llc 2836 W Jefferson Ave Trenton MI 48183-2902 Ph: (734) 250-4544 | New State Of Mind Llc 2836 W Jefferson Ave Trenton MI 48183-2902 Ph: (734) 250-4544 |
| NPI Number | 1588047542 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588047542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801066229 (Michigan) | Primary |
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