| Root Wellness Studio, Llc | |
|
5378 Sterling Dr Studio 3 Boulder CO 80301-2351 | |
| (303) 505-3216 | |
| Not Available |
| Full Name | Root Wellness Studio, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5378 Sterling Dr, Boulder, Colorado |
| Authorized Official Name and Position | Amy J Lynn (CEO) |
| Authorized Official Contact | 3035053216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Wellness Studio, Llc 5378 Sterling Dr Studio 3 Boulder CO 80301-2351 Ph: (303) 505-3216 | Root Wellness Studio, Llc 5378 Sterling Dr Studio 3 Boulder CO 80301-2351 Ph: (303) 505-3216 |
| NPI Number | 1245665538 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245665538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.006965 (Illinois) | Primary |
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