Organization
ROOTS 45
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLEN WUMMEL LMSW (BH THERAPIST)
(989) 350-3053
Entity
Organization
Contact information
Practice address
100 W 1ST ST, GAYLORD, MI 49735-1355
(989) 350-3053
Mailing address
2704 HICKORYWOOD DR, GAYLORD, MI 49735-6403
(989) 350-3053
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801097139
MASTER'S SOCIAL WORKER LICENSE
MI
Enumeration date
12/21/2020
Last updated
12/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us