| Out Of Mind,llc | |
|
39200 Garfield Rd Ste C Clinton Township MI 48038-4095 | |
| (313) 522-2520 | |
| Not Available |
| Full Name | Out Of Mind,llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 39200 Garfield Rd Ste C, Clinton Township, Michigan |
| Authorized Official Name and Position | Renisha Danielle Simpkins (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3135222520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of Mind,llc 17649 Kingsbrooke Cir Apt 101 Clinton Township MI 48038-3789 Ph: (313) 522-5220 | Out Of Mind,llc 39200 Garfield Rd Ste C Clinton Township MI 48038-4095 Ph: (313) 522-2520 |
| NPI Number | 1134684061 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134684061 | NPI | - | NPPES |
| 1538502299 | Other | AZ | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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