Room To Reflect LLC
Social Worker, Clinical in Fenton, MI. Organization (NPI-2).
NPI number1013763739
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1013763739
- Entity type
- Organization (NPI-2)
- Legal business name
- Room To Reflect LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
785 1st StFenton, MI 48430-4103
Phone 248-563-9336
Mailing address
785 1st StFenton, MI 48430-4103
Authorized official
Amy Scott
Registered Agent
2485639336
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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