Organization
HEALTHY MIND HEALTHY LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA BARCLAY DNP, NP-C, PMHNP-BC (OWNER)
(248) 963-8189
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD STE 650, SOUTHFIELD, MI 48075-4403
(248) 963-8189
(763) 402-7611
Mailing address
17515 W 9 MILE RD STE 650, SOUTHFIELD, MI 48075-4403
(313) 633-8385
(763) 402-7611
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
11/08/2023
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