Organization
BLOOMING MINDS. PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASCHA AZAKIR LMSW,MSW,MBA (CLINICAL SOCIAL WORKER)
(313) 903-1737
Entity
Organization
Contact information
Practice address
1001 WOODWARD AVE FL 5, DETROIT, MI 48226-1904
(313) 903-1737
Mailing address
1001 WOODWARD AVE FL 5, DETROIT, MI 48226-1904
(313) 903-1737
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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