| Healing Roots Therapy And Consulting Services Llc. | |
|
105 Indigo Place Ct West Columbia SC 29172-2698 | |
| (803) 974-9415 | |
| Not Available |
| Full Name | Healing Roots Therapy And Consulting Services Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 Indigo Place Ct, West Columbia, South Carolina |
| Authorized Official Name and Position | Antoinette Shanae Nipper (OWNER) |
| Authorized Official Contact | 8039749415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Therapy And Consulting Services Llc. 105 Indigo Place Ct West Columbia SC 29172-2698 Ph: (803) 974-9415 | Healing Roots Therapy And Consulting Services Llc. 105 Indigo Place Ct West Columbia SC 29172-2698 Ph: (803) 974-9415 |
| NPI Number | 1891448635 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891448635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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