Organization
BLUE SKY MIND LLC
Active
Other names
Blue Sky Mind Therapy and Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GOUGEON LMSW (AUTHORIZED AGENT)
(313) 473-0150
Entity
Organization
Contact information
Practice address
39 S MAIN ST STE 4, CLARKSTON, MI 48346-1593
(313) 473-0150
(313) 490-3180
Mailing address
39 S MAIN ST STE 4, CLARKSTON, MI 48346-1593
(313) 473-0150
(313) 490-3180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
09/02/2025
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