Healthcare Provider Details

I. General information

NPI: 1568355477
Provider Name (Legal Business Name): STEADY MIND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OTTAWA AVE NW
GRAND RAPIDS MI
49503-2304
US

IV. Provider business mailing address

144 OAKES ST SW APT 1602
GRAND RAPIDS MI
49503-3151
US

V. Phone/Fax

Practice location:
  • Phone: 734-531-8626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FARID ALSABEH
Title or Position: MANAGING OWNER
Credential:
Phone: 248-885-6630