Enlightened Mind Llc

LBN: Enlightened Mind Llc
Enlightened Mind Llc is an health care organization with primary practice located at 2837 Walnut St , Port Huron MI 48060-2162. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Enlightened Mind Llc can be contacted via phone (810) 689-4547, or through Russell, Nathanael William via phone (810) 689-4547.

Contact Information

Primary practice address
2837 Walnut St Port Huron MI 48060-2162
Fax:
Website:
Authorized official contact:
Name: Russell, Nathanael William LMSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1912606997
LBN Legal business name Enlightened Mind Llc
DBA Doing business as
Authorized official Russell, Nathanael William LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2023
Last updated Feb 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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