Organization
BRAIN SPACE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN MITCHELL (OWNER)
(734) 215-5586
Entity
Organization
Contact information
Practice address
116 E WASHINGTON ST STE 209, ANN ARBOR, MI 48104-1938
(734) 215-5586
Mailing address
1700 W STADIUM BLVD, ANN ARBOR, MI 48103-5225
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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