| Home Rooted Therapy Llc | |
|
122 Uptown Dr # 204-11 Bay City MI 48708-5617 | |
| (989) 573-5043 | |
| Not Available |
| Full Name | Home Rooted Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 122 Uptown Dr # 204-11, Bay City, Michigan |
| Authorized Official Name and Position | Alicia Fiske (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9895735046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Rooted Therapy Llc 1329 Glendale Ave Saginaw MI 48638-4723 Ph: () - | Home Rooted Therapy Llc 122 Uptown Dr # 204-11 Bay City MI 48708-5617 Ph: (989) 573-5043 |
| NPI Number | 1659122026 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659122026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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