INTO THE WOODS RETREAT (NPI# 1962876243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962876243 |
| Entity Type | Organization |
| Organization Name | INTO THE WOODS RETREAT |
| Practice Address |
7178 Butternut Dr West Olive MI 49460-9734 |
| Practice Telephone | 6164980958 |
| Mailing Telephone | 6164980958 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | MERCDES SAURBAUGH (THERAPIST) |
| Authorized Official Telephone | 6164980958 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801088733 | MI | Agencies |
| Street Address |
7178 BUTTERNUT DR |
| City | WEST OLIVE |
| State | MI |
| Zip Code | 49460-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902255714 | Matthew Tornga | Family Medicine | 15151 Stanton St Ste A, West Olive, MI 49460 | 2016-06-13 |
| 1407326648 | Bryan Castillo | Physical Therapist | 14715 Mayberry Dr, Port Sheldon, MI 49460-4946 | 2018-11-30 |
| 1699119412 | Ronald Dean Mulder | Obstetrics & Gynecology | 17236 Sandgate Pl, West Olive, MI 49460-8508 | 2013-04-23 |
| 1184610669 | Jack Richard Roossien Jr. | Family Medicine | 15151 Stanton St, Suite A, West Olive, MI 49460-8543 | 2005-09-21 |
| 1598223612 | Lindsey Ann Roossien | Family Medicine | 15151 Stanton St, West Olive, MI 49460-8543 | 2019-03-07 |
| 1609069244 | Eileen Marie Kishman | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2007-08-27 |
| 1497947618 | Physiotherapy Associates Inc | Clinic/Center | 15151 Stanton St, Ste B, West Olive, MI 49460-8543 | 2007-08-11 |
| 1740406982 | Jack R. Roossien Jr., M.d.p.c. | Family Medicine | 15151 Stanton St, Suite A, West Olive, MI 49460-8543 | 2007-04-17 |
| 1427086420 | Wendy L Bradley | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2006-06-29 |
| 1609802313 | Stanton Crossings Physical Therapy LLC | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2006-06-24 |
| Find all providers in zip 49460 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST OLIVE |
| Zip Code | 49460 |
Please comment or provide details below to improve the information on INTO THE WOODS RETREAT.
| 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.