MEDICARE: MIND OVER MATTERS THERAPY, 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1851108781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND OVER MATTERS THERAPY, LLC

Provider Business Mailing Address
First Line	:	16143 1/2 KNOBHILL DR
Second Line	:
City	:	LINDEN
State	:	MI
Zip	:	48451-8786
Country	:	US
Telephone Number	:	810-449-7660
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 W SHIAWASSEE AVE STE 215
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2093
Country	:	US
Telephone Number	:	810-449-7660
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAURIE DENISE LAWLOR-CLARK
Credential	:	LMSW
Telephone Number	:	810-449-7660

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	10/24/2025

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Directions to “MIND OVER MATTERS THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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