OrganizationActive
Mind Trust Counseling and Consulting Services,pc
NPI 1518375294 · Exclusive Provider Organization · Southfield, MI
Provider details
- NPI number
- 1518375294
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Vanessa Lewis, Chief Executive Officer(313) 595-3125
- License
- 6401012459 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
16250 Northland Dr Ste 115
Southfield, MI 48075-5221
Phone: (313) 595-3125
Fax: (313) 447-2277
Approximate (ZIP-level) locationGet directions
Mailing address
16250 Northland Dr Ste 115
Southfield, MI 48075-5221
Registry dates
- Enumerated
- 2014-07-26
- Last updated
- 2014-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.