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General NPI Number Information
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NPI Number | 1295559003
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Entity Type | Organization
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Legal Business Name | INCLUSIVE MINDS THERAPY, LLC
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 29800 HARPER AVE STE 3
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-1655
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Country | US
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Telephone | 586-279-9760
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Fax |
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Provider Business Mailing Address
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Address Line | 29800 HARPER AVE STE 3
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-1655
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Country | US
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Telephone | 586-279-9760
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | COURTNEY LYNN MONREAL
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Credential | LMSW
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Telephone | 586-279-9760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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