Organization
BEAUTIFUL MIND FAMILY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACARA S GILMORE MA (OWNER/OPERATOR)
(734) 404-8729
Entity
Organization
Contact information
Practice address
15056 COLBERT ST., 03, ROMULUS, MI 48174-4817
(313) 401-2655
Mailing address
15056 COLBERT ST., 03, ROMULUS, MI 48174-4817
(313) 401-2655
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4101006791
MI
106H00000X
Marriage & Family Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00069
—
MI
Enumeration date
03/02/2018
Last updated
05/09/2018
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