Organization Active NPI

Deeper Wells Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Howell, MI
National Provider Identifier
1679203194
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEEPER WELLS THERAPY
Practice address
5840 Sterling Dr Ste 110
Howell, MI 48843-7011
Phone
(248) 756-6214
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Rachel Garrison, LMSWNPI 1275002966
Title
Therapist/Owner
Phone
(248) 756-6214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5840 Sterling Dr Ste 110
Howell, MI 48843-7011

Mailing address

2020 Corlett Rd
Brighton, MI 48114-8100
Phone (248) 756-6214

National Provider Directory

National Provider Directory

Locations

5840 Sterling Dr
Ste 110
Howell, MI 48843
Phone (248) 756-6214

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1679203194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CORLETT RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148100",
            "telephone_number": "248-756-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 STERLING DR STE 110",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437011",
            "telephone_number": "248-756-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER WELLS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "248-756-6214",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.