| Mending Roots Healing Center | |
|
577 Haywood Rd Asheville NC 28806-3559 | |
| (727) 643-5594 | |
| (727) 643-5594 |
| Full Name | Mending Roots Healing Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 577 Haywood Rd, Asheville, North Carolina |
| Authorized Official Name and Position | Lydia Kickliter (SOLE MEMBER) |
| Authorized Official Contact | 7276435594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Roots Healing Center 87 Botany Dr Asheville NC 28805-1631 Ph: (727) 643-5594 | Mending Roots Healing Center 577 Haywood Rd Asheville NC 28806-3559 Ph: (727) 643-5594 |
| NPI Number | 1174192751 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174192751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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