| Healing Roots Therpy Llc | |
|
6815 Oldecastle Ct Charlotte NC 28277-8404 | |
| (980) 272-8561 | |
| Not Available |
| Full Name | Healing Roots Therpy Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6815 Oldecastle Ct, Charlotte, North Carolina |
| Authorized Official Name and Position | Stephanie Wagner (OWNER/MEMBER) |
| Authorized Official Contact | 9802728561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Therpy Llc 6815 Oldecastle Ct Charlotte NC 28277-8404 Ph: (980) 272-8561 | Healing Roots Therpy Llc 6815 Oldecastle Ct Charlotte NC 28277-8404 Ph: (980) 272-8561 |
| NPI Number | 1255916227 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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