| Solid Roots, Llc | |
|
103 Continental Pl Brentwood TN 37027-1041 | |
| (000) 000-0000 | |
| (248) 856-9384 |
| Full Name | Solid Roots, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 Continental Pl, Brentwood, Tennessee |
| Authorized Official Name and Position | Gina Crean (OWNER) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Roots, Llc 26149 Valhalla Dr Farmington Hills MI 48331-3782 Ph: () - | Solid Roots, Llc 103 Continental Pl Brentwood TN 37027-1041 Ph: (000) 000-0000 |
| NPI Number | 1780216820 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780216820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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