Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mental Mix Therapy PLLC

Organization Clinical Social Worker · NPI 1194694661

Mental Mix Therapy PLLC is a Clinical Social Worker in Saint Clair Shores, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

20013 Blackburn St
Saint Clair Shores, MI 48080-1051
Phone: (313) 380-0179
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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 number1194694661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayley Minger-Marlow — Psychotherapist · (313) 380-0179
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address21366 Hall Rd Unit 4092, Clinton Township, MI 48038-1539

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