Healthcare Provider Details

I. General information

NPI: 1811803729
Provider Name (Legal Business Name): BLINDER THERAPY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1564 BELVIDERE ST
DETROIT MI
48214-3018
US

IV. Provider business mailing address

4444 2ND AVE # 3053
DETROIT MI
48201-1216
US

V. Phone/Fax

Practice location:
  • Phone: 248-679-2233
  • Fax:
Mailing address:
  • Phone: 248-679-2233
  • 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: BENJAMIN E BLINDER
Title or Position: OWNER/THERAPIST
Credential: LMSW
Phone: 248-679-2233