Mindgrove Inclusive Psychotherapeutic Services, Pllc

NPI #1104550805 in Roscommon, Michigan

Provider Information

NPI Number: 1104550805
Entity Type: Organization
Organization Name: Mindgrove Inclusive Psychotherapeutic Services, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 11, 2022
Last Updated: Jul 25, 2022

Practice Location

Address: 1825 W SUNSET DR
City: Roscommon
State: Michigan
ZIP Code: 48653-9316
Phone: (231) 878-3053

Authorized Official

Name: ROCKY LEE CARRIGAN, LMCSW, CAADC, MHP
Title: OWNER/THERAPIST
Phone: (231) 878-3053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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