| Strong Roots Therapy Llc | |
|
7332 Jochar Rd Clay MI 48001-3021 | |
| (586) 202-9157 | |
| Not Available |
| Full Name | Strong Roots Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7332 Jochar Rd, Clay, Michigan |
| Authorized Official Name and Position | Jamie Overbaugh (OWNER) |
| Authorized Official Contact | 5862029157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Roots Therapy Llc 7332 Jochar Rd Clay MI 48001-3021 Ph: (586) 202-9157 | Strong Roots Therapy Llc 7332 Jochar Rd Clay MI 48001-3021 Ph: (586) 202-9157 |
| NPI Number | 1306579677 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 5698156495 |
|---|---|
| Medicare Enrollment ID | O20220725001546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306579677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jamie Lynne Overbaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114206463 PECOS PAC ID: 3274761937 Enrollment ID: I20140102001339 |
Wandering Path Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7312 Jochar Rd, Clay, MI 48001 Phone: 313-574-9296 |