Organization
NORTHERN STATE OF MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA A. MARSHALL MA (LIMITED LICENSE PSYCHOLOGIST)
(248) 622-3399
Entity
Organization
Contact information
Practice address
57 N MICHIGAN AVE, BEULAH, MI 49617-8600
(248) 622-3399
Mailing address
PO BOX 45, BEULAH, MI 49617-0045
(248) 622-3399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/07/2026
Last updated
03/12/2026
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