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

Northern State of Mind LLC

Organization Psychologist · NPI 1124979810

Northern State of Mind LLC is a Psychologist in Beulah, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 N Michigan Ave
Beulah, MI 49617-8600
Phone: (248) 622-3399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1124979810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberta Marshall — Limited License Psychologist · (248) 622-3399
NPI enumeratedFebruary 7, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing addressPo Box 45, Beulah, MI 49617-0045

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