Organization
MINDSHIFT & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA IVORY PMHNP- BC (CO- OWNER)
(313) 649-5188
Entity
Organization
Contact information
Practice address
28777 NORTHWESTERN HWY, SOUTHFIELD, MI 48034
(313) 645-5188
Mailing address
11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
(313) 645-5188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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