| Rerooted Counseling Services Pllc | |
|
3011 Town Center Drive Ste 130 Unit 152 Fayetteville NC 28306-0049 | |
| (984) 500-5719 | |
| Not Available |
| Full Name | Rerooted Counseling Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3011 Town Center Drive, Fayetteville, North Carolina |
| Authorized Official Name and Position | Clarissa Gooding-aytch (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 9845005719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rerooted Counseling Services Pllc 4145 Trevino Dr Durham NC 27704-3282 Ph: (984) 500-5719 | Rerooted Counseling Services Pllc 3011 Town Center Drive Ste 130 Unit 152 Fayetteville NC 28306-0049 Ph: (984) 500-5719 |
| NPI Number | 1710702089 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710702089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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