Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Extraordinary Minds Therapy Practice, PLLC

Organization Clinical Social Worker · NPI 1568278992

Extraordinary Minds Therapy Practice, PLLC is a Clinical Social Worker in Grosse Pointe Farms, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Kercheval Ave Ste 370
Grosse Pointe Farms, MI 48236-3647
Phone: (313) 969-0196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1568278992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arianna Zimmerman — Clinical Psychotherapist · (313) 969-0196
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address21 Kercheval Ave Ste 370, Grosse Pointe Farms, MI 48236-3647

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