| Mind Grove Therapy Services, Pllc | |
|
70259 46th St Decatur MI 49045-9154 | |
| (269) 808-1344 | |
| Not Available |
| Full Name | Mind Grove Therapy Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 70259 46th St, Decatur, Michigan |
| Authorized Official Name and Position | Andrew Daniel Rajzer (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2698081344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Grove Therapy Services, Pllc 70259 46th St Decatur MI 49045-9154 Ph: (269) 808-1344 | Mind Grove Therapy Services, Pllc 70259 46th St Decatur MI 49045-9154 Ph: (269) 808-1344 |
| NPI Number | 1598468977 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598468977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Blue Seahorse Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Delaware St, Decatur, MI 49045 Phone: 269-244-3577 Fax: 269-409-3983 |