| Family Rootz Llc | |
|
11242 N 1175 W Monticello IN 47960-8103 | |
| (574) 297-1193 | |
| Not Available |
| Full Name | Family Rootz Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11242 N 1175 W, Monticello, Indiana |
| Authorized Official Name and Position | Brooke Johnson (PARTNER) |
| Authorized Official Contact | 5742971193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Rootz Llc Po Box 41 Monticello IN 47960-0041 Ph: (574) 297-1193 | Family Rootz Llc 11242 N 1175 W Monticello IN 47960-8103 Ph: (574) 297-1193 |
| NPI Number | 1275342867 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275342867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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