Rle Therapy, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RLE THERAPY, PLLC

Practice address

5640 W Maple Rd Ste 205
West Bloomfield, MI 48322-3718

Phone

(248) 318-9614

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Rachel Ellentuck, LMSWNPI 1659845279

Title

Owner/Manager

Phone

(248) 318-9614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Rachel Ellentuck, LMSW

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1659845279
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1629535323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 RAMWYCK CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222251",
            "telephone_number": "248-318-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD STE 205",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223718",
            "telephone_number": "248-318-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "ELLENTUCK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "248-318-9614",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Riggins-Wodhouse, D.O.
• Rising Lotus Counseling LLC
• Rising Recovery PLC
• Diane Marie Ritter, BCABA
• Muhammad Bilal Rizwan
• Michelle Robbins, OT
• Robert a Forte DDS MD PC
• Robert B Ferguson M.D. P.C.
• Robert G. Nakisher, D.D.S., P.L.L.C
• Robert G. Nakisher, D.D.S., P.L.L.C.

• Adolescent and Children Mental Health Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.