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Mindgrove Inclusive Psychotherapeutic Services, Pllc
Adult Mental Health Clinic/Center in Roscommon, Michigan
NPI 1104550805

Mindgrove Inclusive Psychotherapeutic Services, Pllc is an Adult Mental Health Clinic/Center based in Roscommon, MI and is specialized in Adult Mental Health. Mindgrove Inclusive Psychotherapeutic Services, Pllc practices in Roscommon, MI. The NPI Number for Mindgrove Inclusive Psychotherapeutic Services, Pllc is 1104550805 and holds a License No. (Michigan).

The current practice location address for Mindgrove Inclusive Psychotherapeutic Services, Pllc is 1825 W Sunset Dr, Roscommon, MI and can be reached out via phone at 231-878-3053.

Location: 1825 W Sunset Dr, Roscommon, MI, 48653-9316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104550805
Provider Name
Mindgrove Inclusive Psychotherapeutic Services, Pllc
Credential
Provider Entity Type
Organization
Address
1825 W Sunset Dr, Roscommon, MI, 48653-9316
Phone Number
231-878-3053
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1825 W Sunset Dr
City
Roscommon
State
Michigan
Zip
48653-9316
Phone Number
231-878-3053
Fax Number
person
Provider Business Mailing Address Details
Address
1825 W Sunset Dr
City
Roscommon
State
Michigan
Zip
48653-9316
Phone Number
231-878-3053
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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