Healthcare Provider Details

I. General information

NPI: 1578454096
Provider Name (Legal Business Name): NURTURING MINDS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2025
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5287 WILLIAMSON ST
DEARBORN MI
48126-3169
US

IV. Provider business mailing address

5287 WILLIAMSON ST
DEARBORN MI
48126-3169
US

V. Phone/Fax

Practice location:
  • Phone: 313-603-0346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: FARAH YASSINE
Title or Position: FOUNDER/CEO
Credential: MS, BCBA, LBA
Phone: 313-603-0346