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ENLIGHTENED MIND LLC
NPI 1912606997
Social Worker - Clinical in Port Huron, MI

Active since February 28, 2023
2837 WALNUT ST, PORT HURON, MI 48060(810) 689-4547 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Feb 28, 2023 (2 updates tracked since 2023).

About Enlightened Mind Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENLIGHTENED MIND LLC (NPI 1912606997) is a healthcare organization registered as a clinical in Port Huron, Michigan and active in the NPI registry since February 2023. The organization lists Nathanael William Russell, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1912606997
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameENLIGHTENED MIND LLC
Location Address2837 WALNUT STPort Huron, MI 48060-2162
Mailing Address2837 Walnut StPort Huron, MI 48060-2162 · (810) 858-1759
Phone(810) 689-4547
Organization SubpartNo
Authorized OfficialNathanael William RussellClinical Director · (810) 689-9633
Enumeration DateFebruary 28, 2023
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1912606997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2837 WALNUT ST, Port Huron, MI 48060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHANAEL WILLIAM RUSSELL LMSW, QMHP
Social Worker (Clinical)
2837 WALNUT ST
PORT HURON, MI 48060
St. Clair County (810) 689-4547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enlightened Mind LLC's NPI number?

The NPI number for Enlightened Mind LLC is 1912606997. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Enlightened Mind LLC located?

Enlightened Mind LLC is located at 2837 Walnut St, Port Huron, MI 48060. The listed phone number is (810) 689-4547.

What is Enlightened Mind LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Enlightened Mind LLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.