Reviving The Roots Counseling, Llc | |
20 Airport Rd Ste 1300 Brownsburg IN 46112-2047 | |
(317) 426-7251 | |
Not Available |
Full Name | Reviving The Roots Counseling, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 20 Airport Rd Ste 1300, Brownsburg, Indiana |
Authorized Official Name and Position | Stacey Bostian-miller (OWNER/MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 3173858661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reviving The Roots Counseling, Llc 3119 Lakewood Dr Indianapolis IN 46234-9150 Ph: (317) 385-8661 | Reviving The Roots Counseling, Llc 20 Airport Rd Ste 1300 Brownsburg IN 46112-2047 Ph: (317) 426-7251 |
NPI Number | 1497493571 |
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Provider Enumeration Date | 05/26/2022 |
Last Update Date | 05/30/2024 |
Certification Date | 05/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497493571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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