Healthcare Provider Details

I. General information

NPI: 1497267884
Provider Name (Legal Business Name): ROOTED IN LOVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 S ELMS RD STE 101
SWARTZ CREEK MI
48473-9766
US

IV. Provider business mailing address

10029 NICHOLS RD
MONTROSE MI
48457-9173
US

V. Phone/Fax

Practice location:
  • Phone: 810-285-8429
  • Fax: 810-204-4950
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number6401014779
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number6401014779
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberC-03160
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number6401014779
License Number StateMI

VIII. Authorized Official

Name: SAMANTHA PILLOW
Title or Position: OWNER/DIRECTOR
Credential: LPC, CAADC, NCC, ACS
Phone: 810-285-8429