MEDICARE: MINDSETME COUNSELING AND SUPPORT SERVICES

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1497698906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDSETME COUNSELING AND SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	7018 WHITE TAIL DR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-9641
Country	:	US
Telephone Number	:	810-442-8174
Fax Number	:

Provider Business Practice Location Address
First Line	:	29532 SOUTHFIELD RD STE 115
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2023
Country	:	US
Telephone Number	:	810-442-8174
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WHITNEY SIMS
Credential	:
Telephone Number	:	810-442-8174

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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