Rooted Willow Therapy
LBN: Rooted Willow Therapy
Rooted Willow Therapy is an health care organization with primary practice located at 330B S University Ave , Mount Pleasant MI 48858-2525. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty.
Rooted Willow Therapy can be contacted via phone (989) 331-0045, or through Carson, Shelby Cristine via phone (989) 331-0045.
Contact Information
Primary practice address
330B S University Ave
Mount Pleasant MI 48858-2525
Phone: (989) 331-0045
Fax:
Website:
Authorized official contact:
Name: Carson, Shelby Cristine Licensed Professional Counselor (LPC)
Phone: (989) 331-0045
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1023730314 |
|---|---|
| LBN Legal business name | Rooted Willow Therapy |
| DBA Doing business as | |
| Authorized official | Carson, Shelby Cristine Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2022 |
| Last updated | Mar 13th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023730314 | NPPES |
| Michigan | MEDICAID | 1811460751 |
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