# SANVELLO BEHAVIORAL HEALTH SERVICES OF MICHIGAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANVELLO BEHAVIORAL HEALTH SERVICES, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770193815
- **Legal business name:** SANVELLO BEHAVIORAL HEALTH SERVICES, P.A.
- **Authorized official:** MONIKA ROOTS MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (877) 441-0121

## Contact information

- **Practice address:** 150 S 5TH ST STE 825, MINNEAPOLIS, MN 55402-4200
- **Practice address phone:** (877) 441-0121
- **Mailing address:** 150 S 5TH ST STE 825, MINNEAPOLIS, MN 55402-4200
- **Mailing address phone:** (877) 441-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2020
- **Last updated:** 08/04/2020