Organization
ROOT & BLOOM THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN RILEY TASKER LPC (CO-OWNER/COUNSELOR)
(810) 618-4374
Entity
Organization
Contact information
Practice address
1955 W HAMLIN RD STE 101, ROCHESTER HILLS, MI 48309-3338
(810) 618-4374
Mailing address
1955 W HAMLIN RD STE 101, ROCHESTER HILLS, MI 48309-3338
(248) 301-6455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/24/2024
Last updated
05/16/2025
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