DEEPER ROOTS WELLNESS LLC (NPI# 1598387128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598387128 |
| Entity Type | Organization |
| Organization Name | DEEPER ROOTS WELLNESS LLC |
| Practice Address |
4120 W Maple Rd Ste 101 Bloomfield Hills MI 48301-3014 |
| Mailing Address |
9229 Riverview Redford MI 48239-1247 |
| Practice Telephone | 3137204522 |
| Mailing Telephone | 3137204522 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | AMY DELIRA (CLINICAL THERAPIST) |
| Authorized Official Telephone | 3137204522 |
| Authorized Official Credential | LMSW, IECMH-E |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amy Delira | Other Name - Individual/Organization |
| Street Address |
4120 W MAPLE RD STE 101 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48301-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
| 1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
| 1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
| 1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
| Find all providers in zip 48301 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161907 | Pediatric and Adolescent Behavioral Counseling, LLC. | Clinic/Center | 36400 Woodward Ave Ste 225, Bloomfield Hills, MI 48304-0914 | 2019-09-04 |
| 1962611137 | Dennis, Moye, Branstetter & Associates, P.C. | Clinic/Center | 1750 S Telegraph Rd Ste 101, Bloomfield Hills, MI 48302-0177 | 2007-05-22 |
| 1578546263 | Oakland Psychological Clinic, P.C. | Clinic/Center | 2550 S Telegraph Rd, Suite 250, Bloomfield Hills, MI 48302 | 2005-11-28 |
| 1487268538 | Devon Battershell Ma LLP Pllc | Clinic/Center | 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304-5057 | 2020-09-06 |
| 1073166468 | Essence of Life, Counseling | Clinic/Center | 42690 Woodward Ave, Bloomfield Hills, MI 48304-5062 | 2019-07-24 |
| 1306327119 | Center for Eating Disorder Assessment Recovery & Support LLC | Clinic/Center | 1750 S Telegraph Rd Ste 102, Bloomfield Hills, MI 48302-0177 | 2018-08-29 |
| 1487163804 | Watzman Consulting Partners | Clinic/Center | 36800 Woodward Ave, Bloomfield Hills, MI 48304-0915 | 2017-09-28 |
| 1457877466 | Laura Barnett, Pllc | Clinic/Center | 36800 Woodward Ave Ste 112, Bloomfield Hills, MI 48304-0916 | 2017-08-22 |
| 1053709253 | Laura Espinosa Pllc | Clinic/Center | 39520 Woodward Ave, Suite 215, Bloomfield Hills, MI 48304-5054 | 2014-12-23 |
| 1689073223 | Counseling of Mind Center LLC | Clinic/Center | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2014-08-20 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48301 |
Please comment or provide details below to improve the information on DEEPER ROOTS WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.