Wise Path Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE PATH PSYCHOTHERAPY, LLC

Practice address

9689 Carpenter Rd
Milan, MI 48160-9547

Phone

(734) 735-9695

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Alexandra Ruth Wilt, LMSWNPI 1154899185

Title

Founder

Phone

(734) 735-9695

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.

• Alexandra Ruth Wilt, LCSW, LMSW

  • Clinical Social Worker
  • Milan, MI
  • NPI 1154899185
  NPD Authorized official

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1649092248",
    "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": "734-735-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9689 CARPENTER RD",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481609547",
            "telephone_number": "734-735-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PATH PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WILT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "734-735-9695",
        "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": []
}

• Christine Rose Williams, PA-C
• Nathan Steven Williams, DPT, PT
• George Wilson Jr., M.D.
• Alexandra Ruth Wilt, LCSW, LMSW
• Chrysann Winnie-McGregor, M.A.,CCC-SLP
• Amber Withrow, MA
• Hailey Maria Wolf
• Woodward Detroit CVS, L.L.C.
• Carla J. Zahuranec, M.D.

• Clinical Social Worker in Milan, MI
• Providers in Milan, 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 Oct 25, 2024; 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.