Organization
MIDWEST WELLNESS LLC
Active
Other names
Nora, Nora MH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CULLEN HARDY PSYD (OWNER)
(269) 262-1815
Entity
Organization
Contact information
Practice address
24 N SAINT JOSEPH AVE STE C2, NILES, MI 49120-2263
(269) 262-1815
Mailing address
20 N 2ND ST STE 103, NILES, MI 49120-2259
(269) 262-1815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013717
MI
Other
Enumeration date
04/01/2018
Last updated
02/20/2024
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