Organization
MY MENTAL WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANISH SYED HASAN (CLINIC DIRECTOR)
(313) 584-4143
Entity
Organization
Contact information
Practice address
14350 TIREMAN ST, DETROIT, MI 48228-6100
(313) 584-4143
(313) 914-7187
Mailing address
14350 TIREMAN ST, DETROIT, MI 48228-6100
(313) 584-4143
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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