Organization
COUNSELING OF MIND CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY LYNN WISNIEWSKI MA LLPC (GENERAL PARTNER/THERAPIST)
(248) 977-5930
Entity
Organization
Contact information
Practice address
10 W SQUARE LAKE RD, SUITE 302, BLOOMFIELD HILLS, MI 48302-0465
(248) 977-5930
Mailing address
10 W SQUARE LAKE RD, SUITE 302, BLOOMFIELD HILLS, MI 48302-0465
(248) 977-5930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
E48909
MI
Other
Enumeration date
08/20/2014
Last updated
01/13/2015
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