Organization
TAPROOT MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY ZICAFOOSE LMSW (LICENSED CLINICAL SOCIAL WORKER)
(517) 914-8619
Entity
Organization
Contact information
Practice address
1100 HATCH RD, JACKSON, MI 49201-9712
(517) 914-8619
Mailing address
1100 HATCH RD, JACKSON, MI 49201-9712
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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