| Resilient Roots Therapy LLC | |
|
58 Parkland Plz Ste 300 Ann Arbor MI 48103-6208 | |
| (517) 795-9464 | |
| Not Available |
| Full Name | Resilient Roots Therapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 58 Parkland Plz Ste 300, Ann Arbor, Michigan |
| Authorized Official Name and Position | Julie Chappel (OWNER/LMSW) |
| Authorized Official Contact | 5177959464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Roots Therapy LLC Po Box 74 Chelsea MI 48118-0074 Ph: (517) 795-9464 | Resilient Roots Therapy LLC 58 Parkland Plz Ste 300 Ann Arbor MI 48103-6208 Ph: (517) 795-9464 |
| NPI Number | 1043034994 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 2668900648 |
|---|---|
| Medicare Enrollment ID | O20250106000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043034994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | () | Primary |
| Provider Name | Julie a Chappel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831156405 PECOS PAC ID: 3971564873 Enrollment ID: I20041025000183 |
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