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Organization

RAISED AND ROOTED THERAPEUTIC COLLECTIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHANNON N MATHISON MS, LLP (PSYCHOTHERAPIST)
(734) 776-8380
Entity
Organization

Contact information

Practice address
14800 FARMINGTON RD STE 109, LIVONIA, MI 48154-5464
(734) 776-8380
Mailing address
14800 FARMINGTON RD STE 109, LIVONIA, MI 48154-5464
(734) 776-8380

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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