Home Rooted Therapy LLC

NPI #1659122026 in Bay City, Michigan

Provider Information

NPI Number
1659122026
Entity Type
Organization
Organization Name
Home Rooted Therapy LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 1, 2024
Last Updated
Apr 1, 2024

Practice Location

Address
122 UPTOWN DR # 204-11
ZIP Code
48708-5617
Phone
(989) 573-5043

Authorized Official

Name
ALICIA FISKE
Title
AUTHORIZED OFFICIAL
Phone
(989) 573-5046

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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