| Enduring Roots Wellness Llc | |
|
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 | |
| (301) 228-0996 | |
| Not Available |
| Full Name | Enduring Roots Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5457 Twin Knolls Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Pamela Stephen (OWNER) |
| Authorized Official Contact | 6362199388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enduring Roots Wellness Llc 5457 Twin Knolls Road #1047 Suite 300 Columbia MD 21045 Ph: () - | Enduring Roots Wellness Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (301) 228-0996 |
| NPI Number | 1255189296 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255189296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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