| Root Salve, Lcsw, Pllc | |
|
397 Bridge St Brooklyn NY 11201-5292 | |
| (347) 766-8788 | |
| Not Available |
| Full Name | Root Salve, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 397 Bridge St, Brooklyn, New York |
| Authorized Official Name and Position | Jalana Harris (OWNER) |
| Authorized Official Contact | 3475517384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Salve, Lcsw, Pllc 248-25 Northern Blvd Suite 1-j Pmb 2022 Little Neck NY 11362 Ph: (347) 766-8788 | Root Salve, Lcsw, Pllc 397 Bridge St Brooklyn NY 11201-5292 Ph: (347) 766-8788 |
| NPI Number | 1992450142 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992450142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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