Mindgrove Inclusive Psychotherapeutic Services, PLLC
Organization Active NPI Clinical Social Worker · Roscommon, MI
NPI 1104550805 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1104550805
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MINDGROVE INCLUSIVE PSYCHOTHERAPEUTIC SERVICES, PLLC
- Practice address
- 1825 W Sunset Dr
Roscommon, MI 48653-9316 - Phone
- (231) 878-3053
- NPI assigned
- Jul 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Rocky Lee Carrigan, LMCSW, CAADC, MHP
- Title
- Owner/Therapist
- Phone
- (231) 878-3053
Practitioners 1
-
Rocky Lee Carrigan, LMCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
1825 W Sunset Dr
Roscommon, MI 48653-9316
Mailing address
1825 W Sunset Dr
Roscommon, MI 48653-9316
Phone (231) 878-3053
Other providers in Roscommon, MI
- MHSN Roscommon Mpca
- Midmichigan Health Services
- Midmichigan Health Services
- Midmichigan Health Services
- Midmichigan Health Services
- Mission Point of Roscommon LLC
- Cheryl Ann Mitchell-McCarthy
- Munson Healthcare Grayling
- Munson Healthcare Grayling
- Robert Nixon
All providers in Roscommon, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.