Mindbloom Psychological Services

LBN: Mindbloom Psychological Services
Mindbloom Psychological Services is an health care organization with primary practice located at 53473 Tundra Dr , Shelby Township MI 48316-2164. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Mindbloom Psychological Services can be contacted via phone (734) 812-8541, or through Maclellan, Matthew R via phone (734) 812-8541.

Contact Information

Primary practice address
53473 Tundra Dr Shelby Township MI 48316-2164
Phone: (734) 812-8541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maclellan, Matthew R MA, LLP, QIDP
Phone: (734) 812-8541

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1871228890
LBN Legal business name Mindbloom Psychological Services
DBA Doing business as
Authorized official Maclellan, Matthew R MA, LLP, QIDP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - about 2 years ago

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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