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Organization
THE MINDFUL SELF, LLC
Active
Organization
THE MINDFUL SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA M HILEWSKY PSYD, LLP, LPC (CLINICAL PSYCHOLOGIST)
(248) 543-0033
Entity
Organization
Contact information
Practice address
31201 CHICAGO RD S STE A201, WARREN, MI 48093-5552
(248) 543-0033
(248) 548-5309
Mailing address
31201 CHICAGO RD S STE A201, WARREN, MI 48093-5552
(248) 543-0033
(248) 548-5309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011013
MI
103T00000X
Psychologist
6301024395
MI
Other
Enumeration date
10/15/2012
Last updated
12/12/2024
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