Healthcare Provider Details

I. General information

NPI: 1558218271
Provider Name (Legal Business Name): REDBUD THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E WASHINGTON ST STE 300
ANN ARBOR MI
48104-2198
US

IV. Provider business mailing address

9441 YORK WOODS DR
SALINE MI
48176-9041
US

V. Phone/Fax

Practice location:
  • Phone: 310-592-9788
  • Fax:
Mailing address:
  • Phone: 310-592-9788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CASEY N ROBERT
Title or Position: OWNER
Credential: LMSW
Phone: 310-592-9788