| Mind Refresh Counseling Center LLC | |
|
801 W Big Beaver Rd Suite 300 Troy MI 48084-2801 | |
| (248) 658-8424 | |
| Not Available |
| Full Name | Mind Refresh Counseling Center LLC |
|---|---|
| Speciality | Counselor |
| Location | 801 W Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Ashley T Bond (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 2486588424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Refresh Counseling Center LLC 801 W Big Beaver Rd Ste 300 Troy MI 48084-4725 | Mind Refresh Counseling Center LLC 801 W Big Beaver Rd Suite 300 Troy MI 48084-2801 Ph: (248) 658-8424 |
| NPI Number | 1114607199 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 6406205053 |
|---|---|
| Medicare Enrollment ID | O20231208000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114607199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 103T00000X | Psychologist | () | Secondary |
| 104100000X | Social Worker | () | Secondary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
| Provider Name | Ashley T Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316193030 PECOS PAC ID: 0941659593 Enrollment ID: I20240108004989 |
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