# MIND WELLNESS COUNSELING

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

## Provider details

- **NPI number:** 1790325785
- **Authorized official:** MICHAEL JAY SAMAR JR. LMSW (OWNER)
- **Authorized official phone:** (248) 692-4013

## Contact information

- **Practice address:** 123 S. MAIN ST., SUITE 100, ROYAL OAK, MI 48067-0945
- **Practice address phone:** (248) 692-4013
- **Mailing address:** 123 S. MAIN ST., SUITE 100, ROYAL OAK, MI 48067-0945
- **Mailing address phone:** (248) 692-4013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 05/12/2021