OrganizationMind Wellness CounselingCounselorBehavioral Health & Social Service ProvidersPractice Address123 S. Main St., Suite 100, Royal Oak, MI 48067-0945(248) 692-4013PECOS EnrollmentBased on the most recent information from CMS, provider Mind Wellness Counseling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790325785Provider TypeOrganizationFull NameMind Wellness CounselingSubpartNoEnumeration Date1/8/2020Last Updated5/12/2021Contact InformationPractice LocationPractice Address123 S. Main St., Suite 100, Royal Oak, MI 48067-0945Phone(248) 692-4013FaxUnlisted FaxMailing LocationMailing Address123 S. Main St., Suite 100, Royal Oak, MI 48067-0945Phone(248) 692-4013FaxUnlisted FaxAuthorized OfficialNameSamar, Michael Jay (Owner)Phone(248) 692-4013Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer