# NEW PINE THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740041680
- **Authorized official:** ROSALIE PHILLIPS LMFT (OWNER)
- **Authorized official phone:** (425) 345-4811

## Contact information

- **Practice address:** 7854 DRAKESHIRE BLVD, ALMONT, MI 48003-8796
- **Practice address phone:** (586) 460-4042
- **Mailing address:** 2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2024
- **Last updated:** 01/18/2024