| Cultivating R.o.o.t.s., Llc | |
|
6303 Foggy Oak Dr Fairburn GA 30213-4686 | |
| (706) 231-2008 | |
| (800) 419-9018 |
| Full Name | Cultivating R.o.o.t.s., Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6303 Foggy Oak Dr, Fairburn, Georgia |
| Authorized Official Name and Position | Tiffany C Pope (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7062312008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating R.o.o.t.s., Llc 6303 Foggy Oak Dr Fairburn GA 30213-4686 Ph: (404) 444-5143 | Cultivating R.o.o.t.s., Llc 6303 Foggy Oak Dr Fairburn GA 30213-4686 Ph: (706) 231-2008 |
| NPI Number | 1841826658 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841826658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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