Organization
OUT OF MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENISHA DANIELLE SIMPKINS MA,LPC,NCC (PROFESSIONAL COUNSELOR)
(313) 522-2520
Entity
Organization
Contact information
Practice address
39200 GARFIELD RD STE C, CLINTON TOWNSHIP, MI 48038-4095
(313) 522-2520
Mailing address
17649 KINGSBROOKE CIR APT 101, CLINTON TOWNSHIP, MI 48038-3789
(313) 522-5220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538502299
COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
AZ
Enumeration date
02/05/2019
Last updated
01/24/2025
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