# BEAUTIFUL MIND FAMILY COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1568964872
- **Authorized official:** MS. LACARA S GILMORE MA (OWNER/OPERATOR)
- **Authorized official phone:** (734) 404-8729

## Contact information

- **Practice address:** 15056 COLBERT ST., 03, ROMULUS, MI 48174-4817
- **Practice address phone:** (313) 401-2655
- **Mailing address:** 15056 COLBERT ST., 03, ROMULUS, MI 48174-4817
- **Mailing address phone:** (313) 401-2655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 4101006791 | MI | — |
| 106H00000X | Marriage & Family Therapist | — | MI | Yes |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 05/09/2018