| Mindgrove Inclusive Psychotherapeutic Services, Pllc | |
|
1825 W Sunset Dr Roscommon MI 48653-9316 | |
| (231) 878-3053 | |
| Not Available |
| Full Name | Mindgrove Inclusive Psychotherapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1825 W Sunset Dr, Roscommon, Michigan |
| Authorized Official Name and Position | Rocky Lee Carrigan (OWNER/THERAPIST) |
| Authorized Official Contact | 2318783053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindgrove Inclusive Psychotherapeutic Services, Pllc 1825 W Sunset Dr Roscommon MI 48653-9316 Ph: (231) 878-3053 | Mindgrove Inclusive Psychotherapeutic Services, Pllc 1825 W Sunset Dr Roscommon MI 48653-9316 Ph: (231) 878-3053 |
| NPI Number | 1104550805 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104550805 | NPI | - | NPPES |
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