| Rooted Minds Therapy Llc | |
|
4419 Peppermill Ln Lake Orion MI 48359-2071 | |
| (989) 429-7004 | |
| Not Available |
| Full Name | Rooted Minds Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4419 Peppermill Ln, Lake Orion, Michigan |
| Authorized Official Name and Position | Christina Root (OWNER) |
| Authorized Official Contact | 9894297004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Minds Therapy Llc 4419 Peppermill Ln Lake Orion MI 48359-2071 Ph: (989) 429-7004 | Rooted Minds Therapy Llc 4419 Peppermill Ln Lake Orion MI 48359-2071 Ph: (989) 429-7004 |
| NPI Number | 1386538585 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386538585 | NPI | - | NPPES |
| 1376200139 | Medicaid | MI | |
| 1376200139 | Other | MI | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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