| Healing Roots Counseling Llc | |
|
1690 Stone Village Ln Nw Ste 601b Kennesaw GA 30152-7777 | |
| (678) 948-5783 | |
| Not Available |
| Full Name | Healing Roots Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1690 Stone Village Ln Nw Ste 601b, Kennesaw, Georgia |
| Authorized Official Name and Position | Kristina Tucker (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6789485783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Counseling Llc 3773 Butterfield Dr Nw Kennesaw GA 30152-6989 Ph: (678) 770-7577 | Healing Roots Counseling Llc 1690 Stone Village Ln Nw Ste 601b Kennesaw GA 30152-7777 Ph: (678) 948-5783 |
| NPI Number | 1902376163 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902376163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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