| Restorative Roots Llc | |
|
6399 Sylvania Petersburg Rd Ottawa Lake MI 49267-9518 | |
| (678) 756-9932 | |
| Not Available |
| Full Name | Restorative Roots Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6399 Sylvania Petersburg Rd, Ottawa Lake, Michigan |
| Authorized Official Name and Position | Trisha Marie Ziem (OWNER/COUNSELOR) |
| Authorized Official Contact | 6787569932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Roots Llc 6399 Sylvania Petersburg Rd Ottawa Lake MI 49267-9518 Ph: (678) 756-9932 | Restorative Roots Llc 6399 Sylvania Petersburg Rd Ottawa Lake MI 49267-9518 Ph: (678) 756-9932 |
| NPI Number | 1740151844 |
|---|---|
| Provider Enumeration Date | 09/13/2025 |
| Last Update Date | 09/13/2025 |
| Certification Date | 09/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740151844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Barry C Eitel, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4315 Piehl Rd, Ottawa Lake, MI 49267 Phone: 419-260-5552 |