| Nourishing Roots Comprehensive Family Services Llc | |
|
4929 Klee Mill Rd S Sykesville MD 21784-9224 | |
| (434) 360-5350 | |
| Not Available |
| Full Name | Nourishing Roots Comprehensive Family Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4929 Klee Mill Rd S, Sykesville, Maryland |
| Authorized Official Name and Position | Shannon Sammis (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4433605350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourishing Roots Comprehensive Family Services Llc 4929 Klee Mill Rd S Sykesville MD 21784-9224 Ph: (434) 360-5350 | Nourishing Roots Comprehensive Family Services Llc 4929 Klee Mill Rd S Sykesville MD 21784-9224 Ph: (434) 360-5350 |
| NPI Number | 1356173348 |
|---|---|
| Provider Enumeration Date | 08/17/2024 |
| Last Update Date | 08/17/2024 |
| Certification Date | 08/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356173348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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