| State Of Mind Counseling Centers Llc | |
|
52188 Van Dyke Ave Ste 319 Shelby Township MI 48316-3571 | |
| (248) 690-6851 | |
| Not Available |
| Full Name | State Of Mind Counseling Centers Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 52188 Van Dyke Ave Ste 319, Shelby Township, Michigan |
| Authorized Official Name and Position | Carrissa Nicole Michael (OWNER/THERAPIST) |
| Authorized Official Contact | 2485218237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Mind Counseling Centers Llc 140 Fontainbleau Ct E Rochester Hills MI 48307-2421 Ph: (248) 521-8237 | State Of Mind Counseling Centers Llc 52188 Van Dyke Ave Ste 319 Shelby Township MI 48316-3571 Ph: (248) 690-6851 |
| NPI Number | 1003376112 |
|---|---|
| Provider Enumeration Date | 03/24/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003376112 | NPI | - | NPPES |
| 1770927147 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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