Organization
MINDFUL CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANIKA L. BENSON LLP (PSYCHOTHERAPIST)
(313) 247-4413
Entity
Organization
Contact information
Practice address
21650 W 11 MILE RD STE 108, SOUTHFIELD, MI 48076-3715
(248) 919-8473
Mailing address
29305 POINTE O WOODS PL APT 207, SOUTHFIELD, MI 48034-1241
(313) 247-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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