| Collective Mind | |
|
7596 Macomb St Ste 13 Grosse Ile MI 48138-2205 | |
| (734) 308-9537 | |
| Not Available |
| Full Name | Collective Mind |
|---|---|
| Speciality | Social Worker |
| Location | 7596 Macomb St Ste 13, Grosse Ile, Michigan |
| Authorized Official Name and Position | Megan Kathleen Reedy (DIRECTOR) |
| Authorized Official Contact | 7343089537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Mind 7596 Macomb St Ste 13 Grosse Ile MI 48138-2205 Ph: (734) 308-9537 | Collective Mind 7596 Macomb St Ste 13 Grosse Ile MI 48138-2205 Ph: (734) 308-9537 |
| NPI Number | 1114784774 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 5799271698 |
|---|---|
| Medicare Enrollment ID | O20251230003240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114784774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Brittany Ahmad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376107136 PECOS PAC ID: 1153763859 Enrollment ID: I20240528000499 |
| Provider Name | Megan Reedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841865235 PECOS PAC ID: 2860988417 Enrollment ID: I20260102001496 |
| Provider Name | Maria Nicely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235280017 PECOS PAC ID: 9931158169 Enrollment ID: I20260122000482 |
Live Well Counseling and Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7796 Macomb St, Grosse Ile, MI 48138 Phone: 313-241-4013 |