| Mindful Development, Pllc | |
|
36216 Freedom Rd Ste 27 Farmington Hills MI 48335-3002 | |
| (734) 335-0845 | |
| Not Available |
| Full Name | Mindful Development, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 36216 Freedom Rd Ste 27, Farmington Hills, Michigan |
| Authorized Official Name and Position | Shannon M Harbin (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7343350845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Development, Pllc 36216 Freedom Rd Ste 27 Farmington Hills MI 48335-3002 Ph: (734) 335-0845 | Mindful Development, Pllc 36216 Freedom Rd Ste 27 Farmington Hills MI 48335-3002 Ph: (734) 335-0845 |
| NPI Number | 1013699206 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 6507211208 |
|---|---|
| Medicare Enrollment ID | O20231016002794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013699206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Shannon M Harbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972029676 PECOS PAC ID: 0648507111 Enrollment ID: I20190806002624 |
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