Raised And Rooted Therapeutic Collective, LLC
Counselor, Addiction (Substance Use Disorder) in Livonia, MI. Organization (NPI-2).
NPI number1619829603
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1619829603
- Entity type
- Organization (NPI-2)
- Legal business name
- Raised And Rooted Therapeutic Collective, LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2026
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TF0000X | Psychologist, Family | – | – |
Practice location
14800 Farmington Rd Ste 109Livonia, MI 48154-5464
Phone 734-776-8380
Mailing address
14800 Farmington Rd Ste 109Livonia, MI 48154-5464
Phone 734-776-8380
Authorized official
Shannon N Mathison
Psychotherapist
7347768380
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