# MISSY BEAN LMSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477118776
- **Authorized official:** MRS. MICHELLE B. BEAN LMSW (OWNER)
- **Authorized official phone:** (248) 202-1146

## Contact information

- **Practice address:** 1850 11 MILE ROAD, BERKLEY, MI 48072-3001
- **Practice address phone:** (248) 202-1146
- **Mailing address:** 1850 11 MILE ROAD, BERKLEY, MI 48072-3001
- **Mailing address phone:** (248) 202-1146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2019
- **Last updated:** 09/17/2025
