| Authentic Roots Counseling Pllc | |
|
1811 Bolivar St Denton TX 76201-3044 | |
| (940) 553-0837 | |
| Not Available |
| Full Name | Authentic Roots Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1811 Bolivar St, Denton, Texas |
| Authorized Official Name and Position | Ashley Whitted (OWNER) |
| Authorized Official Contact | 9405530837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Roots Counseling Pllc 1811 Bolivar St Denton TX 76201-3044 Ph: (940) 553-0837 | Authentic Roots Counseling Pllc 1811 Bolivar St Denton TX 76201-3044 Ph: (940) 553-0837 |
| NPI Number | 1568241149 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568241149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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