Organization
BLUE MIND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN PELLEGROM LPC (THERAPIST/OWNER)
(269) 744-2604
Entity
Organization
Contact information
Practice address
18565 WOODDUCK DR, SPRING LAKE, MI 49456-2901
(269) 744-2604
Mailing address
18565 WOODDUCK DR, SPRING LAKE, MI 49456-2901
(269) 744-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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