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ROOTED WILLOW THERAPY NPI 1023730314


NPI Information

NPI: 1023730314
Provider Name: ROOTED WILLOW THERAPY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
330B S UNIVERSITY AVE
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 331-0045
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ROOTED WILLOW THERAPY is a community behavioral health in Mount Pleasant, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ROOTED WILLOW THERAPY NPI is 1023730314. The provider is registered as an organization entity type.

The provider's business location address is:

330B S UNIVERSITY AVE
MOUNT PLEASANT, MI
ZIP 48858-525
Phone: (989) 331-0045

The provider's authorized official is Shelby Cristine Carson .
The authorized official title is Owner And Therapist and has the following contact phone number (989) 331-0045.

The enumeration date for this NPI number is 9/14/2022 and was last updated on 3/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811460751MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.