State of Mind Counseling Centers LLC
NPI #1003376112 in Shelby Township, Michigan
Provider Information
- NPI Number
- 1003376112
- Entity Type
- Organization
- Organization Name
- State of Mind Counseling Centers LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 24, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 52188 VAN DYKE AVE STE 319
- City
- Shelby Township
- State
- Michigan
- ZIP Code
- 48316-3571
- Phone
- (248) 690-6851
Authorized Official
- Name
- CARRISSA NICOLE MICHAEL, MA, LPC, NCC, LLMFT
- Title
- OWNER/THERAPIST
- Phone
- (248) 521-8237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
| Counselor - Professional — Professional |
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