| Brain Space Wellness PLLC | |
|
116 E Washington St Ste 209 Ann Arbor MI 48104-1938 | |
| (734) 215-5586 | |
| Not Available |
| Full Name | Brain Space Wellness PLLC |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 116 E Washington St Ste 209, Ann Arbor, Michigan |
| Authorized Official Name and Position | Meagan Mitchell (OWNER) |
| Authorized Official Contact | 7342155586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Space Wellness PLLC 1700 W Stadium Blvd Ann Arbor MI 48103-5225 | Brain Space Wellness PLLC 116 E Washington St Ste 209 Ann Arbor MI 48104-1938 Ph: (734) 215-5586 |
| NPI Number | 1144050329 |
|---|---|
| Provider Enumeration Date | 08/03/2024 |
| Last Update Date | 08/03/2024 |
| Certification Date | 08/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144050329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Primary |
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