| Roam Well, Llc | |
|
1320 N Campbell Rd Ste 22 Royal Oak MI 48067-1555 | |
| (248) 266-5616 | |
| (219) 200-3367 |
| Full Name | Roam Well, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1320 N Campbell Rd Ste 22, Royal Oak, Michigan |
| Authorized Official Name and Position | Julie Middlin (OWNER) |
| Authorized Official Contact | 2482665616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roam Well, Llc 1320 N Campbell Rd Ste 22 Royal Oak MI 48067-1555 Ph: (248) 266-5616 | Roam Well, Llc 1320 N Campbell Rd Ste 22 Royal Oak MI 48067-1555 Ph: (248) 266-5616 |
| NPI Number | 1366124265 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 9032559026 |
|---|---|
| Medicare Enrollment ID | O20240424001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366124265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Julie G Middlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417004862 PECOS PAC ID: 1850731845 Enrollment ID: I20240507002497 |
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