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NPI Code Detail

MEDICARE: MULTIPLE MINDS PSYCHOTHERAPY LLC

MEDICARE: MULTIPLE MINDS PSYCHOTHERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1093665937
Entity Type Code : Organization
Provider Name (Legal Business Name) : MULTIPLE MINDS PSYCHOTHERAPY LLC
Provider Business Mailing Address
First Line : 16779 MURRAY HILL ST
Second Line :
City : DETROIT
State : MI
Zip : 48235-3639
Country : US
Telephone Number : 248-919-8653
Fax Number :
Provider Business Practice Location Address
First Line : 16779 MURRAY HILL ST
Second Line :
City : DETROIT
State : MI
Zip : 48235-3639
Country : US
Telephone Number : 248-919-8653
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NICOLE SALISBURY
Credential : LMSW, CAADC
Telephone Number : 248-919-8653
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “MULTIPLE MINDS PSYCHOTHERAPY LLC ” Practice Location

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