Healthcare Provider Details

I. General information

NPI: 1457271819
Provider Name (Legal Business Name): MANAGING MINDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22190 GARRISON ST STE 301B
DEARBORN MI
48124-2235
US

IV. Provider business mailing address

7353 ORCHARD AVE
DEARBORN MI
48126-1309
US

V. Phone/Fax

Practice location:
  • Phone: 313-247-2977
  • Fax:
Mailing address:
  • Phone: 313-247-2977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MAYA FOUAD SABBAGH
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 313-247-2977