OrganizationActive
With Mom in Mind,llc
NPI 1952817389 · Federal Public Health Clinic/Center · Southfield, MI
Provider details
- NPI number
- 1952817389
- Entity type
- Organization
- Primary specialty
- Federal Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Carter, Registered Dietetic Technician(313) 492-8446
Specialties & taxonomies
Ambulatory Health Care Facilities
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- PACE Provider Organization251T00000X
Agencies
- Ambulatory Family Planning Facility261QA0005X
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18501 West Mile Road
Southfield, MI 48075
Phone: (313) 492-8446
Fax: (248) 200-7968
Approximate (ZIP-level) locationGet directions
Mailing address
18501 West Mile Road
Southfield, MI 48075
Registry dates
- Enumerated
- 2017-12-21
- Last updated
- 2017-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.