Healthcare Provider Details

I. General information

NPI: 1821910522
Provider Name (Legal Business Name): MIND CIRCUIT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S CRAWFORD RD APT H30
MOUNT PLEASANT MI
48858-9360
US

IV. Provider business mailing address

2222 S CRAWFORD RD APT H30
MOUNT PLEASANT MI
48858-9360
US

V. Phone/Fax

Practice location:
  • Phone: 720-281-9709
  • Fax:
Mailing address:
  • Phone: 720-281-9709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGEL MANJARREZ
Title or Position: COUNSELOR, OWNER
Credential: PH.D., LPC
Phone: 720-281-9709