Grow Your Mind Therapy
NPI 1992420251ActiveOrganization· Social Worker· Dearborn, MI
Social Worker in Dearborn, Michigan, registered in NPPES in October 2022. The authorized official on file is Stephanie Lake, LMSW, Social Work/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992420251 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2022 |
| Last updated in NPPES | Jan 28, 2023 |
| Certified by provider | Jan 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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