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Organization
COUNSELING OF MIND CENTER LLC
Active
Organization
COUNSELING OF MIND CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY LYNN WISNIEWSKI MA LLPC (GENERAL PARTNER/THERAPIST)
(248) 977-5930
Entity
Organization
Contact information
Practice address
10 W SQUARE LAKE RD, SUITE 302, BLOOMFIELD HILLS, MI 48302-0465
(248) 977-5930
Mailing address
10 W SQUARE LAKE RD, SUITE 302, BLOOMFIELD HILLS, MI 48302-0465
(248) 977-5930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
E48909
MI
Other
Enumeration date
08/20/2014
Last updated
01/13/2015
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