Organization
NEW STATE OF MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATE LAFAYETTE M.S.S.A., LMSW (OWNER)
(734) 250-4544
Entity
Organization
Contact information
Practice address
2836 W JEFFERSON AVE, TRENTON, MI 48183-2902
(734) 250-4544
(734) 818-1445
Mailing address
2836 W JEFFERSON AVE, TRENTON, MI 48183-2902
(734) 250-4544
(734) 818-1445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801066229
MI
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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