Blue Mind Wellness, LLC
NPI #1467138115 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1467138115
- Entity Type
- Organization
- Organization Name
- Blue Mind Wellness, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 27, 2023
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 18565 WOODDUCK DR
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-2901
- Phone
- (269) 744-2604
Authorized Official
- Name
- ELIZABETH ANN PELLEGROM, LPC
- Title
- THERAPIST/OWNER
- Phone
- (269) 744-2604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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