CHANGING MINDS MENTAL HEALTH SERVICES LLC (NPI# 1144788951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144788951 |
| Entity Type | Organization |
| Organization Name | CHANGING MINDS MENTAL HEALTH SERVICES LLC |
| Practice Address |
12750 S Saginaw St Ste 203 Grand Blanc MI 48439-1841 |
| Mailing Address |
1482 Munson St Burton MI 48509-1836 |
| Practice Telephone | 8106109164 |
| Practice Fax Number | 8107465050 |
| Mailing Telephone | 8106109164 |
| Mailing Fax Number | 8107465050 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | PAMALA KAY DAVIS (LICENSED PROFESSIONAL COUNSELOR/OWN) |
| Authorized Official Telephone | 8106109164 |
| Authorized Official Credential | MA LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Changing Minds Mental Health Services | Doing Business As Name - Organization |
| Street Address |
12750 S SAGINAW ST STE 203 |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
| 1598377616 | Daniel Morey | Counselor | 17006 Wilson St, Grand Blanc, MI 48439-7200 | 2020-08-19 |
| 1134763865 | Journey Through The Seasons, LLC | Counselor | 8240 Embury Rd Ste H, Grand Blanc, MI 48439-7113 | 2019-11-06 |
| 1922439918 | Keith Allen | Counselor | 9164 Del Rio Dr, Grand Blanc, MI 48439-8016 | 2013-12-02 |
| 1205188877 | Daniel Thomas Broughton Jr. | Counselor | 5562 Continental Rd, Grand Blanc, MI 48439-9106 | 2012-10-08 |
| 1326213901 | Kelly Jean Skene | Counselor | 11426 Davis St Unit 746, Grand Blanc, MI 48480-8530 | 2008-04-24 |
| 1003987421 | Selim Ucer | Counselor | 12750 S Saginaw St, Suite 208, Grand Blanc, MI 48439-1841 | 2006-11-10 |
| 1821106675 | William Leslie Harshman | Counselor | 10785 S Saginaw St, Building E, Grand Blanc, MI 48439-7003 | 2006-08-29 |
| 1538716048 | Erica Murto | Counselor | 10785 S Saginaw St Ste A, Grand Blanc, MI 48439-7003 | 2019-08-20 |
| 1710464342 | Gregory Lantz | Counselor | 8401 Holly Rd, Grand Blanc, MI 48439-1812 | 2018-07-26 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on CHANGING MINDS MENTAL HEALTH SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.