Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micah Bruce Mootispaw, QMHS

Individual provider Case Manager/Care Coordinator · NPI 1174153639

Micah Bruce Mootispaw, QMHS is a Case Manager/Care Coordinator in Bainbridge, Ohio. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Phone: (740) 634-3094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1174153639
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHS
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

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