| Return To Roots Therapy | |
|
400 S Jefferson St Ste 451 Spokane WA 99204-3143 | |
| (619) 693-7576 | |
| Not Available |
| Full Name | Return To Roots Therapy |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 400 S Jefferson St Ste 451, Spokane, Washington |
| Authorized Official Name and Position | Rachel E Mikolasy (OWNER/THERAPIST) |
| Authorized Official Contact | 5092309722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Return To Roots Therapy Po Box 4231 Spokane WA 99220-0231 Ph: (509) 230-9722 | Return To Roots Therapy 400 S Jefferson St Ste 451 Spokane WA 99204-3143 Ph: (619) 693-7576 |
| NPI Number | 1497237457 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497237457 | NPI | - | NPPES |
| 1235598046 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 60812427 (Washington) | Primary |
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