| Mindful Roots Counseling, Llc | |
|
647 Philadelphia St Ste 303 Indiana PA 15701-3923 | |
| (724) 599-4060 | |
| Not Available |
| Full Name | Mindful Roots Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 647 Philadelphia St Ste 303, Indiana, Pennsylvania |
| Authorized Official Name and Position | Nicholas Jacob Matalik (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7245994060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Roots Counseling, Llc 408 Elm St Indiana PA 15701-3131 Ph: (724) 599-4060 | Mindful Roots Counseling, Llc 647 Philadelphia St Ste 303 Indiana PA 15701-3923 Ph: (724) 599-4060 |
| NPI Number | 1558952184 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558952184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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