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Organization
ROOT AND BLOOM WELLNESS LLC
Active
Organization
ROOT AND BLOOM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER FAITH FOX LMSW (OWNER/LEAD THERAPIST)
(616) 340-5617
Entity
Organization
Contact information
Practice address
4867 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9787
(616) 340-5617
Mailing address
3090 AMON AVE NE, GRAND RAPIDS, MI 49525-3059
(616) 340-5617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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