| Rooted In Prosperity Wellness Services | |
|
1 N Commerce Park Dr Ste 331 Cincinnati OH 45215-3273 | |
| (513) 204-9646 | |
| Not Available |
| Full Name | Rooted In Prosperity Wellness Services |
|---|---|
| Speciality | Social Worker |
| Location | 1 N Commerce Park Dr Ste 331, Cincinnati, Ohio |
| Authorized Official Name and Position | Shelby Davis (THERAPIST) |
| Authorized Official Contact | 5132049646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted In Prosperity Wellness Services 1 N Commerce Park Dr Ste 331 Cincinnati OH 45215-3273 Ph: (513) 204-9646 | Rooted In Prosperity Wellness Services 1 N Commerce Park Dr Ste 331 Cincinnati OH 45215-3273 Ph: (513) 204-9646 |
| NPI Number | 1932883782 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 2466802889 |
|---|---|
| Medicare Enrollment ID | O20231228000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932883782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelby Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740988757 PECOS PAC ID: 7719337138 Enrollment ID: I20231228000509 |
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