Mental Mix Therapy Pllc

Clinical Social Worker · Saint Clair Shores, MI

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At a glance

20013 Blackburn St, Saint Clair Shores, MI 48080-1051

NPPES record updated Nov 3, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

20013 Blackburn St
Saint Clair Shores, MI 48080-1051
Professional details: NPI, taxonomy & registry record
NPI1194694661
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Nov 3, 2025
Record updated
Nov 3, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

20013 Blackburn St
Saint Clair Shores, MI 48080-1051
Phone
(313) 380-0179
Mailing address
21366 HALL RD UNIT 4092

CLINTON TOWNSHIP, MI 480381539
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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