| New Roots Counseling Llc | |
|
7214 Linden Ave N Seattle WA 98103-5112 | |
| (253) 249-1284 | |
| Not Available |
| Full Name | New Roots Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7214 Linden Ave N, Seattle, Washington |
| Authorized Official Name and Position | Simone Antoinette Walcott (BUSINESS OWNER) |
| Authorized Official Contact | 2532491284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Roots Counseling Llc 102 23rd Ave Sw Apt E203 Puyallup WA 98371-7888 Ph: (253) 249-1284 | New Roots Counseling Llc 7214 Linden Ave N Seattle WA 98103-5112 Ph: (253) 249-1284 |
| NPI Number | 1790311306 |
|---|---|
| Provider Enumeration Date | 03/14/2020 |
| Last Update Date | 03/14/2020 |
| Certification Date | 03/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790311306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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