Organization
DEEPER ROOTS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DELIRA LMSW, IECMH-E (CLINICAL THERAPIST)
(313) 720-4522
Entity
Organization
Contact information
Practice address
34024 W 8 MILE RD STE 104, FARMINGTON HILLS, MI 48335-5209
(313) 437-1869
Mailing address
33550 STOCKER ST, FARMINGTON HILLS, MI 48335-5361
(313) 720-4522
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
08/12/2022
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