Organization · NPI-2

"your Beautiful Mind" Counseling Service LLC

Marriage & Family Therapist · Swartz Creek, MI

NPI number1346649803
StatusActive
Last updated in NPPESAug 20, 2014

Details

NPI
1346649803
Entity type
Organization (NPI-2)
Legal business name
"your Beautiful Mind" Counseling Service LLC
Organization subpart
No
Enumeration date
Aug 20, 2014
Last updated
Aug 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

6201 Miller Rd Ste B
Swartz Creek, MI 48473-1598

Phone 810-630-6784 · Fax 810-644-7138

Mailing address

6201 Miller Rd Ste B
Swartz Creek, MI 48473-1598

Phone 810-630-6784 · Fax 810-644-7138

Authorized official

Cheryl Leone Gaspar
Owner/Therapist
8106306784

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