| Healing Roots Curando Raices Pc | |
|
3000 Newburg Rd Ste B Fortuna CA 95540-2599 | |
| (707) 600-6815 | |
| Not Available |
| Full Name | Healing Roots Curando Raices Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3000 Newburg Rd Ste B, Fortuna, California |
| Authorized Official Name and Position | Michelle Ulloa (LMFT) |
| Authorized Official Contact | 7076006815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Curando Raices Pc 3000 Newburg Rd Ste B Fortuna CA 95540-2599 Ph: () - | Healing Roots Curando Raices Pc 3000 Newburg Rd Ste B Fortuna CA 95540-2599 Ph: (707) 600-6815 |
| NPI Number | 1669202537 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 3375083892 |
|---|---|
| Medicare Enrollment ID | O20240911002866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669202537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Michelle Nicole Ulloa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508341660 PECOS PAC ID: 9830636265 Enrollment ID: I20240805001986 |
| Provider Name | Susana Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245715846 PECOS PAC ID: 3577004944 Enrollment ID: I20240925002661 |
Reflective Practices Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St Ste C, Fortuna, CA 95540 Phone: 707-682-9331 Fax: 707-306-7449 | |
Noreen Edwards Expressive Arts, Licensed Clinical Social Worker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Suite B, Fortuna, CA 95540 Phone: 707-725-6939 Fax: 707-442-0239 | |
Humboldt Neurohealth Therapeutic Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-298-9295 | |
Healing Roots Curando Raices Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3000 Newburg Rd Ste B, Fortuna, CA 95540 Phone: 510-717-3266 | |
Kristin L Perkins, Msw, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St Ste D, Fortuna, CA 95540 Phone: 707-496-4626 |