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General NPI Number Information
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NPI Number | 1497267884
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Entity Type | Organization
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Legal Business Name | ROOTED IN LOVE, LLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2029 S ELMS RD STE 101
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-9766
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Country | US
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Telephone | 810-285-8429
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Fax | 810-204-4950
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Provider Business Mailing Address
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Address Line | 10029 NICHOLS RD
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City | MONTROSE
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State | MI
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Zip | 48457-9173
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | SAMANTHA PILLOW
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Credential | LPC, CAADC, NCC, ACS
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Telephone | 810-285-8429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 6401014779
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 6401014779
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | C-03160
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6401014779
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License Number State | MI
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