| Wellrooted Counseling Llc | |
|
214 W Wackerly St Midland MI 48640-2795 | |
| (989) 272-3812 | |
| Not Available |
| Full Name | Wellrooted Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 214 W Wackerly St, Midland, Michigan |
| Authorized Official Name and Position | Nicole R Schram (OWNER/COUNSELOR) |
| Authorized Official Contact | 9896003396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellrooted Counseling Llc 1205 Wildwood St Midland MI 48642-7118 Ph: () - | Wellrooted Counseling Llc 214 W Wackerly St Midland MI 48640-2795 Ph: (989) 272-3812 |
| NPI Number | 1881427730 |
|---|---|
| Provider Enumeration Date | 08/24/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 7719418102 |
|---|---|
| Medicare Enrollment ID | O20241009003994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881427730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Nicole Ryan Schram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215483805 PECOS PAC ID: 2163873951 Enrollment ID: I20240105001320 |
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