Provider Demographics
NPI:1255202438
Name:ARROWROOT INTEGRATIVE PRACTICE PLLC
Entity type:Organization
Organization Name:ARROWROOT INTEGRATIVE PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:906-250-0484
Mailing Address - Street 1:1851 WAGON WHEEL LN
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9731
Mailing Address - Country:US
Mailing Address - Phone:906-250-0484
Mailing Address - Fax:
Practice Address - Street 1:1851 WAGON WHEEL LN
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-9731
Practice Address - Country:US
Practice Address - Phone:906-250-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty