Wise Old Owl Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401016102 Issued in MI

Legal business name

WISE OLD OWL THERAPY, PLLC

Practice address

11135 Dawn Dr
Fowlerville, MI 48836-9296

Phone

(810) 360-7000

NPI assigned

Sep 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth Viola Curd, MAT/MAC/NCCNPI 1659899169

Title

Owner/Therapist

Phone

(810) 360-7000

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, and the practitioner matching its NPPES authorized official.

• Elizabeth Viola Curd

  • Professional Counselor
  • Fowlerville, MI
  • NPI 1659899169
  NPD Authorized official

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609394139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 DAWN DR",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488369296",
            "telephone_number": "810-360-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 DAWN DR",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488369296",
            "telephone_number": "810-360-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OLD OWL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CURD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "810-360-7000",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MAT/MAC/NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401016102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Walmart Vision Center 30-4540)
• Alexandria Walker
• William Thomas Weakland, P.T.
• Scott Weaver, P.T.
• Traci Nicole Weaver, CRNA
• Denise Wood, MA. CCC-SLP

• Community/Behavioral Health Agency in Fowlerville, MI
• Providers in Fowlerville, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.