Root to Fruit Therapy & Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROOT TO FRUIT THERAPY & WELLNESS, LLC

Practice address

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324

Phone

(734) 606-9687

NPI assigned

Jul 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bianca Lynne Nelson, LMSW

Title

Managing Member

Phone

(734) 606-9687

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bianca Lynne Mackiewicz, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1174087126
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1356014914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-606-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-606-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT TO FRUIT THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "734-606-9687",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kymberly Rooke, NP
• Room to Talk
• Kerryn Ashleigh Roome, MD
• Emily Lynn Roopas
• Lee Kirstin Roosevelt, CNM
• Rooted and Flowing Therapy, LLC
• Roots Communication and Movement Services , L.L.C.
• Capreece Chanais Roper, LLMSW
• Lindsey M Ropp
• Julio Roque-Buenrostro

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.