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Organization
ROOTED MINDS THERAPY LLC
Active
Organization
ROOTED MINDS THERAPY LLC
Active
Other names
Rooted Minds Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ROOT LMSW (OWNER)
(989) 429-7004
Entity
Organization
Contact information
Practice address
4419 PEPPERMILL LN, LAKE ORION, MI 48359-2071
(989) 429-7004
Mailing address
4419 PEPPERMILL LN, LAKE ORION, MI 48359-2071
(989) 429-7004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376200139
NPI 1
MI
05
—
1376200139
—
MI
Enumeration date
06/04/2025
Last updated
06/16/2025
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