| Mom Brain | |
|
4570 Blacktail Ave Portage MI 49002-9007 | |
| (517) 221-9586 | |
| Not Available |
| Full Name | Mom Brain |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4570 Blacktail Ave, Portage, Michigan |
| Authorized Official Name and Position | Natalie Rae Paluch (OWNER, COUNSELOR) |
| Authorized Official Contact | 5172219586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mom Brain 4570 Blacktail Ave Portage MI 49002-9007 Ph: (517) 221-9586 | Mom Brain 4570 Blacktail Ave Portage MI 49002-9007 Ph: (517) 221-9586 |
| NPI Number | 1396634358 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396634358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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