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Organization
GROUNDED ROOTS PSYCHOLOGICAL SERVICES LLC
Active
Organization
GROUNDED ROOTS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN PHILLIPS (OWNER)
(248) 431-5776
Entity
Organization
Contact information
Practice address
5132 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2323
(248) 431-5776
Mailing address
5132 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2323
(248) 431-5776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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