| Elizabeth Root Ma, Lmft Llc | |
|
8170 Old Carriage Ct Ste 200 Shakopee MN 55379-3169 | |
| (612) 385-6137 | |
| Not Available |
| Full Name | Elizabeth Root Ma, Lmft Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8170 Old Carriage Ct Ste 200, Shakopee, Minnesota |
| Authorized Official Name and Position | Justin Parker (OFFICE MANAGER) |
| Authorized Official Contact | 8653840318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Root Ma, Lmft Llc 8170 Old Carriage Ct Ste 200 Shakopee MN 55379-3169 Ph: (612) 385-6137 | Elizabeth Root Ma, Lmft Llc 8170 Old Carriage Ct Ste 200 Shakopee MN 55379-3169 Ph: (612) 385-6137 |
| NPI Number | 1174362552 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174362552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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