| Counseling Of Mind Center Llc | |
|
10 W Square Lake Rd Suite 302 Bloomfield Hills MI 48302-0465 | |
| (248) 977-5930 | |
| Not Available |
| Full Name | Counseling Of Mind Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 W Square Lake Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Terry Lynn Wisniewski (GENERAL PARTNER/THERAPIST) |
| Authorized Official Contact | 2489775930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Of Mind Center Llc 10 W Square Lake Rd Suite 302 Bloomfield Hills MI 48302-0465 Ph: (248) 977-5930 | Counseling Of Mind Center Llc 10 W Square Lake Rd Suite 302 Bloomfield Hills MI 48302-0465 Ph: (248) 977-5930 |
| NPI Number | 1689073223 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689073223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | E48909 (Michigan) | Primary |
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