Organization
PETOSKEY PSYCHOLOGICAL HEALTH AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA ROTH PHD (OWNER)
(231) 340-9113
Entity
Organization
Contact information
Practice address
2810 CHARLEVOIX RD STE 102, PETOSKEY, MI 49770-8421
(231) 340-9113
(231) 642-9116
Mailing address
PO BOX 133, PETOSKEY, MI 49770-0133
(231) 340-9113
(231) 347-5194
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
04/22/2024
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