Healthcare Provider Details

I. General information

NPI: 1154231033
Provider Name (Legal Business Name): ROSE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S MAIN ST
MT PLEASANT MI
48858-2326
US

IV. Provider business mailing address

10045 S MARLENE DR
SAINT LOUIS MO
63123-4017
US

V. Phone/Fax

Practice location:
  • Phone: 317-998-8895
  • Fax:
Mailing address:
  • Phone: 317-998-8895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMILY BROWN
Title or Position: SOCIAL WORKER
Credential: LCSW, LMSW
Phone: 317-998-8895