| Mindroots Counseling Pllc | |
|
190 S 1st St Bennett CO 80102-7860 | |
| (303) 622-4547 | |
| Not Available |
| Full Name | Mindroots Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 190 S 1st St, Bennett, Colorado |
| Authorized Official Name and Position | Pamella Zackeru (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9084216680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindroots Counseling Pllc 4299 Flandin Ct Strasburg CO 80136-8126 Ph: (908) 421-6680 | Mindroots Counseling Pllc 190 S 1st St Bennett CO 80102-7860 Ph: (303) 622-4547 |
| NPI Number | 1568080323 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568080323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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