Organization
MIND MANAGEMENT INSTITUTE INC
Active
Organization
MIND MANAGEMENT INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIERA DANYAL CLIFFORD LP, LPC (EXECUTIVE DIRECTOR)
(313) 800-2497
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 239, SOUTHFIELD, MI 48075-5206
(313) 800-2497
Mailing address
11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
(313) 800-2497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
07/01/2025
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