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MINDGROVE INCLUSIVE PSYCHOTHERAPEUTIC SERVICES PLLC NPI 1104550805


NPI Information

NPI: 1104550805
Provider Name: MINDGROVE INCLUSIVE PSYCHOTHERAPEUTIC SERVICES, PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1825 W SUNSET DR
ROSCOMMON, MI
ZIP 48653
Phone: (231) 878-3053
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MINDGROVE INCLUSIVE PSYCHOTHERAPEUTIC SERVICES, PLLC is a clinical social worker in Roscommon, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MINDGROVE INCLUSIVE PSYCHOTHERAPEUTIC SERVICES, PLLC NPI is 1104550805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1825 W SUNSET DR
ROSCOMMON, MI
ZIP 48653-316
Phone: (231) 878-3053

The provider's authorized official is Rocky Lee Carrigan .
The authorized official title is Owner/therapist and has the following contact phone number (231) 878-3053.

The enumeration date for this NPI number is 7/11/2022 and was last updated on 7/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
41041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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