Organization
MITCHELL CENTER FOR PSYCHOLOGICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA SIMMONS LP (OWNER)
(313) 402-3329
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(313) 402-3329
Mailing address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(313) 402-3329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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